Luke David Gray, PT, DPT | |
541 E Slocum St, Whitehall, MI 49461-1199 | |
(616) 847-1280 | |
(616) 847-1290 |
Full Name | Luke David Gray |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 541 E Slocum St, Whitehall, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932850955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501301793 (Michigan) | Primary |
Provider Name | Shoreline Sport & Spine Pc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1225040694 PECOS PAC ID: 4284673575 Enrollment ID: O20050426001319 |
Mailing Address | Practice Location Address |
---|---|
Luke David Gray, PT, DPT 18000 Cove St Ste 202, Spring Lake, MI 49456-1383 Ph: (616) 847-1280 | Luke David Gray, PT, DPT 541 E Slocum St, Whitehall, MI 49461-1199 Ph: (616) 847-1280 |
Gina E Houtteman, PT, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 541 E Slocum St, Whitehall, MI 49461 Phone: 318-931-0772 Fax: 616-847-1290 | |
Melanie R Lahrman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 541 E Slocum St, Whitehall, MI 49461 Phone: 616-847-1280 Fax: 616-847-1290 | |
Matthew Conrad Zahl, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 541 E Slocum Street, Whitehall, MI 49461 Phone: 616-847-1280 Fax: 616-847-1290 |