Roberta Lucklum, BSPT

Physical Therapist · Huron, SD

Individual Active NPI

NPI number 1134769813

Practice location

172 4TH St SE
Huron, SD 57350-2590
Phone
(605) 353-6200
Fax
(605) 353-6300

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NPI record

NPI
1134769813
Entity type
Individual (Type 1)
Enumeration date
January 10, 2020
Last updated
January 10, 2020
Certified
January 10, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 0283 SD

About Roberta Lucklum

Roberta Lucklum, BSPT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 172 4TH St SE, Huron, SD 57350-2590. The NPI number 1134769813 was assigned on January 10, 2020 and the record was last updated on January 10, 2020.

Roberta Lucklum lists a license in the registry: #0283 (SD) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Roberta Lucklum, BSPT?

The NPI number is 1134769813.

What is the phone number of Roberta Lucklum?

The phone number listed for the practice location is (605) 353-6200.

Where is Roberta Lucklum located?

172 4TH St SE, Huron, SD 57350-2590.

What is the taxonomy code for Roberta Lucklum?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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