Roberta Lucklum, BSPT

NPI #1134769813 in Huron, South Dakota

Provider Information

NPI Number: 1134769813
Entity Type: Individual
Name: Roberta Lucklum, BSPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: BSPT
Enumeration Date: Jan 10, 2020
Last Updated: Jan 10, 2020

Practice Location

Address: 172 4TH ST SE
City: Huron
State: South Dakota
ZIP Code: 57350-2590
Phone: (605) 353-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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