Lori Caldwell, PTA
Individual provider Active NPI Physical Therapy Assistant · Lander, WY
NPI 1013208974 · NPPES record last updated Mar 14, 2012
Key facts
- NPI
- 1013208974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 0324 (WY)
- Practice address
- 669 Main St
Lander, WY 82520-3033 - Phone
- (307) 921-9332
- NPI assigned
- Apr 27, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0324 | WY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 0324 | WY | Yes |
Addresses
Primary practice location
669 Main St
Lander, WY 82520-3033
Mailing address
669 Main St
Lander, WY 82520-3033
Phone (307) 921-9332
Other providers in Lander, WY
- Eric Brian Bullen
- Tamara Marie Bushmeyer
- Janeen Lee Buss
- Edwin Eugene Butler
- Jill Marion Calder
- Brittany Callahan
- Joyce E Campbell
- Robert A Campbell
- Kristine Marie Cardinal
- Mykenzie Carpenter-Lott
All providers in Lander, WY · Physical Therapy Assistant in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.