Haxton, Luke Jack

Haxton, Luke Jack is an individual health care provider with primary practice located at 1233 N Northwood Center Ct Ste 101 , Coeur D Alene ID 83814-6190. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Haxton, Luke Jack can be contacted via phone (208) 215-2450.

Contact Information

Primary practice address
1233 N Northwood Center Ct Ste 101 Coeur D Alene ID 83814-6190
Phone: (208) 215-2450
Fax: (208) 773-1473
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-6475 Idaho
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT-6475 Idaho
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X PT-6475 Idaho

Profile Details

NPI number 1972135010
LBN Legal business name Haxton, Luke Jack
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2020
Last updated Dec 22nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972135010 NPPES
Idaho MEDICAID 1972135010

Popular Providers