Organization
BACK9PT & PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCAS DECKARD DPT, SCS, FAAOMPT (OWNER/PHYSICAL THERAPIST)
(270) 670-4733
Entity
Organization
Contact information
Practice address
9000 LIMEHOUSE LN, LOUISVILLE, KY 40220-3843
(502) 491-7877
Mailing address
1105 BAXTER AVE, LOUISVILLE, KY 40204-1648
(270) 670-4733
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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