Individual provider · Type 1 NPI

Cedric Michael Luckey, OTR/L

Specialist · Irmo, SC

NPI number 1972930071 Active

Practice location

355 Ridge Run Trl
Irmo, SC 29063-8667

Mailing address

201 Beaver Creek Dr
Columbia, SC 29223-7756

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1242 (SC)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1972930071

Cedric Michael Luckey, OTR/L's National Provider Identifier is 1972930071, issued on Oct 3, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Irmo, SC. The record was last updated on Oct 3, 2013.