Provider Demographics
NPI:1356084669
Name:MARTENS, LUKE (DC)
Entity Type:Individual
Prefix:DR
First Name:LUKE
Middle Name:
Last Name:MARTENS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 S CENTER ST STE 420
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-2876
Mailing Address - Country:US
Mailing Address - Phone:307-251-9763
Mailing Address - Fax:
Practice Address - Street 1:330 S CENTER ST STE 420
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2876
Practice Address - Country:US
Practice Address - Phone:307-251-9763
Practice Address - Fax:307-337-1105
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-14
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY822111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty