NPI 1023597770
Lucas Wilson, PTA
Practice location
- Address
- 9709 E 79th St, Tulsa, OK 74133-4566
- Phone
- (918) 994-4000
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1023597770
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Aug 2018
- Record last updated
- 1 Jul 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.