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Ricky Kenneth Lockard, PT

Physical Therapist in Evansville, IN. Individual provider (NPI-1).

NPI number1003974544
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1003974544
Entity type
Individual (NPI-1)
Name
Ricky Kenneth Lockard
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
Dec 5, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist05007411AINYes

Practice location

150 N Rosenberger Ave
Evansville, IN 47712-6503

Phone 812-476-7000

Mailing address

Po Box 6890
Evansville, IN 47719-0890

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