MEDICARE: LUKE THOMAS HAUETER P.T.A.

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	225200000X	Physical Therapy Assistant	2079581	TX

General Provider Information

NPI Number	:	1720367097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUKE THOMAS HAUETER P.T.A.

Provider Business Mailing Address
First Line	:	3818 DECKER DR
Second Line	:
City	:	BAYTOWN
State	:	TX
Zip	:	77520-1662
Country	:	US
Telephone Number	:	281-424-7557
Fax Number	:	281-424-7567

Provider Business Practice Location Address
First Line	:	400 1/2 E HIGHWAY 90
Second Line	:
City	:	DAYTON
State	:	TX
Zip	:	77535-2630
Country	:	US
Telephone Number	:	936-258-2555
Fax Number	:	936-258-2994

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

Provider Enumeration Date	:	08/04/2011
Last Update Date	:	08/04/2011

Similar Medicare Providers

1407267073 — SMILE CLUB PLLC
Practice Location Address:

400 E HIGHWAY 90 STE 402
DAYTON, TX
77535-2630

Practice Phone: 936-681-8592
Practice Fax:

1104233311 — DR. NOMAN HUSSAIN DMD
Practice Location Address:

400 E HIGHWAY 90 STE 402
DAYTON, TX
77535-2630

Practice Phone: 936-681-8592
Practice Fax:

1376041764 — DAYTON DENTAL PLLC
Practice Location Address:

400 E HIGHWAY 90 STE 402
DAYTON, TX
77535-2630

Practice Phone: 936-681-8592
Practice Fax:

1366915969 — SMILE CLUB-DAYTON PLLC
Practice Location Address:

400 E HIGHWAY 90 STE 402
DAYTON, TX
77535-2630

Practice Phone: 936-681-8592
Practice Fax: 936-681-8599

1871175562 — KEVIN L TURPIN JR. ETC.
Practice Location Address:

252 BURGESS AVE
DAYTON, OH
45415-2630

Practice Phone: 937-609-4274
Practice Fax:

1679599831 — MS. KATHARINA MARIA FRIEDLY RN
Practice Location Address:

2630 PINEGROVE DR
DAYTON, OH
45449-3347

Practice Phone: 937-434-8807
Practice Fax:

Directions to “ LUKE THOMAS HAUETER P.T.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.