Jared M Luke, MED, ATC, LAT
NPI #1841470473 in Villa Rica, Georgia
Provider Information
- NPI Number
- 1841470473
- Entity Type
- Individual
- Name
- Jared M Luke, MED, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MED, ATC, LAT
- Enumeration Date
- Nov 12, 2007
- Last Updated
- Jun 5, 2014
Practice Location
- Address
- 256 RALEIGH WAY
- City
- Villa Rica
- State
- Georgia
- ZIP Code
- 30180-7020
- Phone
- (678) 787-9291
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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