Clucas, John Kenneth

Clucas, John Kenneth is an individual health care provider with primary practice located at 5415 Thompson Mill Rd , Hoschton GA 30548-4132. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Clucas, John Kenneth can be contacted via phone (770) 965-3508.

Contact Information

Primary practice address
5415 Thompson Mill Rd Hoschton GA 30548-4132
Phone: (770) 965-3508
Fax: (770) 965-3279
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070023050 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT014979 Georgia

Profile Details

NPI number 1245769892
LBN Legal business name Clucas, John Kenneth
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2017
Last updated Jan 25th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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