Erin Elizabeth Lueck, PTA

Individual provider Active NPI Physical Therapy Assistant · Juneau, WI

NPI 1487994281 · NPPES record last updated Feb 15, 2013

Key facts

NPI
1487994281
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
1948-19 (WI)
Practice address
198 County Rd DF
Juneau, WI 53039
Phone
(920) 386-3548
Fax
(920) 386-9721
NPI assigned
Feb 15, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1948-19WIMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1948-19 WI Yes

Addresses

Primary practice location

198 County Rd DF
Juneau, WI 53039

Mailing address

106 S Holmen Dr Ste 2
Holmen, WI 54636-9468
Phone (608) 347-0574

Other providers in Juneau, WI

All providers in Juneau, WI · Physical Therapy Assistant in Wisconsin

Sources for this page

Verify at the official NPI Registry.