Provider Demographics
NPI:1114223229
Name:STORRS, LUKE ANDREW (DPT)
Entity Type:Individual
Prefix:MR
First Name:LUKE
Middle Name:ANDREW
Last Name:STORRS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 KEYSER AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-6037
Mailing Address - Country:US
Mailing Address - Phone:318-214-0088
Mailing Address - Fax:318-214-9009
Practice Address - Street 1:740 KEYSER AVE
Practice Address - Street 2:SUITE E
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-6037
Practice Address - Country:US
Practice Address - Phone:318-214-0088
Practice Address - Fax:318-214-9009
Is Sole Proprietor?:No
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA07836225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist