Basic Information
| Provider Information | |||||||||
| NPI: | 1386147429 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ATKINS | ||||||||
| FirstName: | LUKE | ||||||||
| MiddleName: | R | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 HIGHLANDS DR STE 100 | ||||||||
| Address2: | |||||||||
| City: | LITITZ | ||||||||
| State: | PA | ||||||||
| PostalCode: | 175437692 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7176252228 | ||||||||
| FaxNumber: | 7176250959 | ||||||||
| Practice Location | |||||||||
| Address1: | 1635 W MAIN ST STE 500 | ||||||||
| Address2: | |||||||||
| City: | EPHRATA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 175221145 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177380004 | ||||||||
| FaxNumber: | 7177350041 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/15/2018 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PTO26663 | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.