Luckett-Torrence, Beverly Antoinette

Luckett-Torrence, Beverly Antoinette is an sole proprietor health care provider with primary practice located at 756 N 35Th St Ste 203 , Milwaukee WI 53208. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Luckett-Torrence, Beverly Antoinette can be contacted via phone (414) 763-1237.

Contact Information

Primary practice address
756 N 35Th St Ste 203 Milwaukee WI 53208
Phone: (414) 763-1237
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 976-019 Wisconsin

Profile Details

NPI number 1689849556
LBN Legal business name Luckett-Torrence, Beverly Antoinette
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2008
Last updated Jun 10th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689849556 NPPES
Wisconsin MEDICAID 976-019

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