Fred Luster, MPT

NPI #1316480254 in Granger, Indiana

Provider Information

NPI Number: 1316480254
Entity Type: Individual
Name: Fred Luster, MPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Nov 26, 2016
Last Updated: Mar 30, 2021

Practice Location

Address: 3221 BEACON PKWY STE 100
City: Granger
State: Indiana
ZIP Code: 46530
Phone: (574) 647-2930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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