Provider Demographics
NPI:1598490229
Name:LUECKE, HARPER MICHELLE (DPT)
Entity Type:Individual
Prefix:DR
First Name:HARPER
Middle Name:MICHELLE
Last Name:LUECKE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10636 LOMALAND AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89166-7117
Mailing Address - Country:US
Mailing Address - Phone:214-797-4491
Mailing Address - Fax:
Practice Address - Street 1:6480 S TENAYA WAY STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-6655
Practice Address - Country:US
Practice Address - Phone:702-623-8555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty