Search › Arkansas › 225100000X
Jacob Luckett, PT
NPI 1043791130 · on the registry since 2018
Practice
- Address
- 2039 W Main St Ste B
Cabot, AR 72023 - Phone
- (501) 605-8888
- Fax
- (501) 605-8899
- Organisation at this address
- Ssk Holdings
Cabot Imaging Center, Llc
White County Medical Center
Cabot Medical Park Pharmacy IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas