Individual
LUCAS ISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3096 POPLAR AVE, MEMPHIS, TN 38111-3532
(901) 203-6366
(901) 746-0410
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
(615) 221-9054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11783
TN
Other
Enumeration date
01/30/2019
Last updated
07/15/2021
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