Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISTY GAYLE LUCE, PTA
Active Sole ProprietorMISTY GAYLE LUCE, PTA is a Occupational Therapist healthcare provider located in FORT DODGE, Kansas. NPI 1124666722 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · FORT DODGE, KS
Registration Details
- NPI Number
- 1124666722
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 13, 2019 (6.6494420081298 yrs)
- Last Updated
- Dec 13, 2019
- License
-
14-03536 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
714 SHERIDAN STFORT DODGE, KS, 678439068Browse KS providers · Browse ZIP 67843
- Phone
- 6202272121
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.