Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lucian Thacker, PTA

Individual provider Physical Therapy Assistant · NPI 1922764265

Lucian Thacker, PTA is a Physical Therapy Assistant in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2021.

Licensed in
LA
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

510 E Stoner Ave
Shreveport, LA 71101-4243
Phone: (318) 221-8411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A10795R (LA)

Record details

NPI number1922764265
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 10, 2021
Last updated in NPPESNovember 10, 2021
Certification dateNovember 10, 2021

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