Tracey Dee Luker, | |
3044 Due West Rd, Dallas, GA 30157-2125 | |
(770) 443-9672 | |
Not Available |
Full Name | Tracey Dee Luker |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 3044 Due West Rd, Dallas, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306585237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SLP012079 (Georgia) | Primary |
Provider Name | Fusion Therapy Center Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1801552435 PECOS PAC ID: 3173981776 Enrollment ID: O20230613003817 |
Mailing Address | Practice Location Address |
---|---|
Tracey Dee Luker, 3044 Due West Rd, Dallas, GA 30157-2125 Ph: (770) 443-9672 | Tracey Dee Luker, 3044 Due West Rd, Dallas, GA 30157-2125 Ph: (770) 443-9672 |
Leah Reilly Nichols, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Road, Dallas, GA 30157 Phone: 770-443-9672 | |
Amy Mason, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Rd, Dallas, GA 30157 Phone: 770-443-9672 Fax: 770-505-3595 | |
Emily Gantt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 283 Red Hawk Way, Dallas, GA 30132 Phone: 561-801-3148 | |
Mary Kathleen Morris, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Rd, Dallas, GA 30157 Phone: 770-443-9672 | |
Andrea Baerwalde, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 71 Garland Rose Ln, Dallas, GA 30157 Phone: 770-380-2067 Fax: 770-974-7631 | |
Clifton Young, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Rd, Dallas, GA 30157 Phone: 770-443-9672 | |
Jessica Duffey, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Rd, Dallas, GA 30157 Phone: 770-443-9672 |