Provider Demographics
NPI:1730720988
Name:PARRISH, LUKE
Entity type:Individual
Prefix:
First Name:LUKE
Middle Name:
Last Name:PARRISH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 GLENNA GOODACRE BLVD APT 1318
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79401-2270
Mailing Address - Country:US
Mailing Address - Phone:903-815-4856
Mailing Address - Fax:
Practice Address - Street 1:2400 GLENNA GOODACRE BLVD APT 1318
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79401-2270
Practice Address - Country:US
Practice Address - Phone:903-815-4856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-30
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer