Individual provider · Type 1 NPI

Breanna Luecking

Physical Therapy Assistant · Mount Vernon, IL

NPI number 1205408879 Active

Practice location

208 Zachery Dr
Mount Vernon, IL 62864-6712

Call (618) 731-4007 Map

Mailing address

672 Woods Ln
Centralia, IL 62801-4966

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone 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 1205408879

Breanna Luecking's National Provider Identifier is 1205408879, issued on Jul 13, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Mount Vernon, IL. The record was last updated on Jul 13, 2021.