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

Nathanael Lucero

Individual provider Physical Therapist · NPI 1457192791

Nathanael Lucero is a Physical Therapist in Roanoke, Texas. Licensed in Texas. Registered with an NPI since 2024.

Licensed in
TX
In the registry since
2024

Practice location Address checks out

111 S Pine St
Roanoke, TX 76262-6638
Phone: (530) 902-1239
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1267787 (TX)

Record details

NPI number1457192791
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 3, 2024
Last updated in NPPESJune 3, 2024
Certification dateJune 2, 2024

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