| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARK DAVID LUECK | 1598874265 | 2022-06-19 |
Mark David Lueck is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1598874265. Registration indicates Mark David Lueck is a provider of services with a specialization in Chiropractic Providers, Chiropractor (Chiropractor, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Chiropractor, Chiropractic Providers) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist) (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist) (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Dr. Mark David Lueck PT, DC |
| Practice Office Address | 2250 DREW ST CLEARWATER, FL US |
| Practice Office Telephone | 7277910097 |
| Mailing Address | 430 MORTON PLANT ST STE 301 CLEARWATER, FL 337563395 US |
| Business Telephone | 7274616026 |
| Business Fax | 7274611492 |
| Code | Practice | License No State |
|---|---|---|
| 111N00000X | Chiropractic Providers Chiropractor Chiropractor Speech/Occupational/Physical Therapy/Chiropractor Chiropractor Chiropractic Providers | 2140
MA |
| 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 19894
MA |
| 225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | PT36858
FL |