Healthcare Provider Details

I. General information

NPI: 1780599084
Provider Name (Legal Business Name): NAHUM LUSE PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3409 SINGING HILLS BLVD
SIOUX CITY IA
51106-5109
US

IV. Provider business mailing address

4540 DEROCHER PATH
SIOUX CITY IA
51106-9506
US

V. Phone/Fax

Practice location:
  • Phone: 712-202-0702
  • Fax: 712-202-0578
Mailing address:
  • Phone: 605-217-4330
  • Fax: 605-217-4255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number139484
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: