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NPI Code Detail

MEDICARE: MR. LUKE TAYLOR ROBERTSON PT, DPT

MEDICARE: MR. LUKE TAYLOR ROBERTSON PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251E1300XClinical Electrophysiology Physical TherapistCP048384TPA
2225100000XPhysical Therapist007777KY
32251E1300XClinical Electrophysiology Physical TherapistPT016887GA

General Provider Information

NPI Number : 1447959606
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LUKE TAYLOR ROBERTSON PT, DPT
Provider Business Mailing Address
First Line : 1008 VILLAGE CT
Second Line :
City : HENDERSON
State : KY
Zip : 42420-2252
Country : US
Telephone Number : 270-903-8011
Fax Number :
Provider Business Practice Location Address
First Line : 900 HOSPITAL DR FL 5
Second Line :
City : MADISONVILLE
State : KY
Zip : 42431-1644
Country : US
Telephone Number : 270-825-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2023
Last Update Date : 06/04/2026

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