Healthcare Provider Details

I. General information

NPI: 1164355772
Provider Name (Legal Business Name): LUCAS ARCALA DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4232 E CHANDLER BLVD
PHOENIX AZ
85048-8879
US

IV. Provider business mailing address

4308 S REDCLIFFE DR
GILBERT AZ
85297-7515
US

V. Phone/Fax

Practice location:
  • Phone: 602-362-3701
  • Fax:
Mailing address:
  • Phone: 562-619-0088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberLPT-034767
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: