Individual
ADAM LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 HARRISON AVE STE A, CENTRALIA, WA 98531-1300
(360) 870-2473
Mailing address
515 HARRISON AVE STE A, CENTRALIA, WA 98531-1300
(651) 460-1173
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11533
MN
225100000X
Physical Therapist
Primary
PT61113239
WA
Other
Enumeration date
06/25/2019
Last updated
09/07/2021
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