Jay Lusk, PT
Physical Therapist in Knoxville, TN. Individual provider (NPI-1).
NPI number1124477005
StatusActive
Last updated in NPPESSep 28, 2021
Details
- NPI
- 1124477005
- Entity type
- Individual (NPI-1)
- Name
- Jay Lusk
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2016
- Certification date
- Sep 28, 2021
- Last updated
- Sep 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 10811 | TN | Yes |
Practice location
1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383
Phone 865-584-4747 · Fax 865-584-1363
Mailing address
1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383
Phone 865-584-4747 · Fax 865-584-1363
Other practice locations
970 E Emory Rd
Knoxville, TN 37938-4617
Knoxville, TN 37938-4617
Phone 865-947-6622
970 E Emory Rd
Knoxville, TN 37938-4617
Knoxville, TN 37938-4617
Phone 865-947-6622
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