Provider Demographics
NPI:1639955388
Name:LUKENS, DANNY L (PHYSICAL THERAPIST P)
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:L
Last Name:LUKENS
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-1270
Mailing Address - Country:US
Mailing Address - Phone:317-462-5544
Mailing Address - Fax:
Practice Address - Street 1:888 W NEW RD
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-7304
Practice Address - Country:US
Practice Address - Phone:317-468-6100
Practice Address - Fax:317-468-6122
Is Sole Proprietor?:No
Enumeration Date:2023-09-07
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05005345A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist