Luckey Farms LLC

NPI #1457116105 in Temple, Texas

Provider Information

NPI Number
1457116105
Entity Type
Organization
Organization Name
Luckey Farms LLC
Primary Specialty
Clinic/Center
Enumeration Date
Feb 20, 2024
Last Updated
Feb 20, 2024

Practice Location

Address
10252 W ADAMS AVE STE 104A
City
Temple
State
Texas
ZIP Code
76502-5849
Phone
(254) 780-6344

Authorized Official

Name
KACIE DAWN, LMT, MTI
Title
CO-OWNER
Phone
(254) 541-0656

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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