Individual provider · Type 1 NPI

Nikki M. Lutzow, P.T.

Pediatric Physical Therapist · St. Charles, IL

NPI number 1376694455 Active

Practice location

525 Tyler Rd Ste Q1
St. Charles, IL 60174-3360

Call (630) 444-0077 Map

Fax (630) 444-0078

Mailing address

215 Grand Ridge Rd
St. Charles, IL 60175-1074

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X070012259 (IL)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1376694455

Nikki M. Lutzow, P.T.'s National Provider Identifier is 1376694455, issued on Jan 15, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in St. Charles, IL. The record was last updated on Jan 7, 2021.