Provider Demographics
NPI:1053717330
Name:LUCAS, CAROLYN PLATT (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:PLATT
Last Name:LUCAS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 OLDENBURG RD
Mailing Address - Street 2:
Mailing Address - City:NOLENSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37135-0616
Mailing Address - Country:US
Mailing Address - Phone:713-858-2940
Mailing Address - Fax:
Practice Address - Street 1:206A COOL SPRINGS BLVD STE 106
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-7277
Practice Address - Country:US
Practice Address - Phone:713-858-2940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-13
Last Update Date:2021-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2251X0800X
TN10104225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic