Lucas Alan Wall, PT, DPT
NPI #1790207587 in Mount Juliet, Tennessee
Provider Information
- NPI Number
- 1790207587
- Entity Type
- Individual
- Name
- Lucas Alan Wall, PT, DPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT, DPT
- Enumeration Date
- Jul 13, 2017
- Last Updated
- Aug 16, 2021
Practice Location
- Address
- 608 WINDTREE PASS
- City
- Mount Juliet
- State
- Tennessee
- ZIP Code
- 37122-1350
- Phone
- (865) 202-3962
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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