Provider Demographics
NPI:1356727929
Name:LUCKETT, MEREDITH KYLE-ALVEY (DPT)
Entity type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:KYLE-ALVEY
Last Name:LUCKETT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 5629
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47716-5629
Mailing Address - Country:US
Mailing Address - Phone:502-955-1081
Mailing Address - Fax:502-955-1091
Practice Address - Street 1:170 DR ARLA WAY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40229
Practice Address - Country:US
Practice Address - Phone:502-955-1081
Practice Address - Fax:502-955-1091
Is Sole Proprietor?:No
Enumeration Date:2015-08-06
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist