Luckey, Mary
Luckey, Mary is an sole proprietor health care provider with primary practice located at 2717 Chantel Dr , Bossier City LA 71111-2015. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Luckey, Mary can be contacted via phone (318) 780-7373.Contact Information
Primary practice address
2717 Chantel Dr
Bossier City LA 71111-2015
Phone: (318) 780-7373
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 01638 | Louisiana |
| Other Service Providers / Specialist | 174400000X | 01638 | Virginia |
Profile Details
| NPI number | 1659526598 |
|---|---|
| LBN Legal business name | Luckey, Mary |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 19th, 2008 |
| Last updated | Jul 5th, 2011 - about 15 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.
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