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NPI Code Detail

MEDICARE: JACOB LUTHER

MEDICARE: JACOB LUTHER
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
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811867914
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB LUTHER
Provider Business Mailing Address
First Line : 6325 HUMPHREYS BLVD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-2300
Country : US
Telephone Number : 901-522-7700
Fax Number : 901-522-2600
Provider Business Practice Location Address
First Line : 6325 HUMPHREYS BLVD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-2300
Country : US
Telephone Number : 901-522-7700
Fax Number : 901-522-2600
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2025
Last Update Date : 01/05/2026

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Directions to “ JACOB LUTHER ” Practice Location

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