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Benjamin Lusk, DPT
NPI 1396153466 · on the registry since 2014
Practice
- Address
- 30544 Id-200
Ponderay, ID 83852 - Phone
- (208) 205-9559
- Fax
- (808) 431-4244
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- NC, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-10
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 Idaho