Lucas Ryan Petkewitz
Physical Therapist
307 Boatner Rd Ste 114
Eglin Afb
, Florida 32542-1302
Lucas Ryan Petkewitz
Physical Therapist
307 Boatner Rd Ste 114
Eglin Afb
, Florida 32542-1302
(850) 883-8600
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Lucas Ryan Petkewitz
- 307 Boatner Rd Ste 114
- Eglin Afb, FL
- Zip : 32542-1302
- Phone : (850) 883-8600
Second Address
- Lucas Ryan Petkewitz
- 307 Boatner Rd Ste 114
- Eglin Afb, FL
- Zip : 32542-1302
- Phone : (850) 883-8600
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FAQs
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Is Lucas Ryan Petkewitz a sole practitioner?
Is Lucas Ryan Petkewitz accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT014800 | OH |
National Provider Identifier
| NPI | 1003228057 |
|---|---|
| Provider Name | Lucas Ryan Petkewitz |
| First Address | Eglin Afb, FL 32542-1302 |
| Second Address | Eglin Afb, FL 32542-1302 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/05/2014 |
| Last Update Date | 17/04/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.