Individual provider · Type 1 NPI
Raymund G. Lucero, PHYSICAL THERAPIST
Physical Therapy Assistant · Scott Air Force Base, IL
Practice location
310 W Losey St
Scott Air Force Base, IL 62225-5250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 4329 (NM) |
| Physical Therapy Assistant Primary | 225200000X | None listed |
Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …
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About NPI 1164911095
Raymund G. Lucero, PHYSICAL THERAPIST's National Provider Identifier is 1164911095, issued on May 7, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Scott Air Force Base, IL. The record was last updated on Sep 9, 2026.