Provider Demographics
NPI:1831550169
Name:LUKETIC, ALLISON (DPT)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:LUKETIC
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 1:1963 MEMORIAL PKWY SW STE 5
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5035
Mailing Address - Country:US
Mailing Address - Phone:256-319-6515
Mailing Address - Fax:256-319-6516
Practice Address - Street 1:1963 MEMORIAL PKWY SW STE 5
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5035
Practice Address - Country:US
Practice Address - Phone:256-319-6515
Practice Address - Fax:256-319-6516
Is Sole Proprietor?:No
Enumeration Date:2016-03-15
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT025012225100000X
ALPTH8574225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist