Provider Demographics
NPI:1386147429
Name:ATKINS, LUKE R
Entity type:Individual
Prefix:
First Name:LUKE
Middle Name:R
Last Name:ATKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HIGHLANDS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-7692
Mailing Address - Country:US
Mailing Address - Phone:717-625-2228
Mailing Address - Fax:717-625-0959
Practice Address - Street 1:1635 W MAIN ST STE 500
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522-1145
Practice Address - Country:US
Practice Address - Phone:717-738-0004
Practice Address - Fax:717-735-0041
Is Sole Proprietor?:No
Enumeration Date:2018-03-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPTO26663225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist