Individual provider · Type 1 NPI

Lucian Thacker, PTA

Physical Therapy Assistant · Shreveport, LA

NPI number 1922764265 Active

Practice location

510 E Stoner Ave
Shreveport, LA 71101-4243

Call (318) 221-8411 Map

Mailing address

153 Crandon Ln
Haughton, LA 71037-9753

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA10795R (LA)

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 1922764265

Lucian Thacker, PTA's National Provider Identifier is 1922764265, issued on Nov 10, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Shreveport, LA. The record was last updated on Nov 10, 2021.