Individual
NICHOLAS LUECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
3117 STILLWATER DR, PRESCOTT, AZ 86305-7164
(928) 442-0005
(928) 442-0660
Mailing address
3706 W MCCAULEY CT, PHOENIX, AZ 85086-6046
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12333
AZ
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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