MEDICARE: LUKE METZLER

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
1	225100000X	Physical Therapist	LPT-034705	AZ

General Provider Information

NPI Number	:	1679411870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUKE METZLER

Provider Business Mailing Address
First Line	:	1525 E BASELINE RD APT 75
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85283-1417
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 W DUNLAP AVE STE 145
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-2813
Country	:	US
Telephone Number	:	602-870-1414
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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Directions to “ LUKE METZLER ” Practice Location

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