Lori Parker

Individual provider Active NPI Physical Therapy Assistant · Goddard, KS

NPI 1508068404 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1508068404
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
Practice address
501 Easy St
Goddard, KS 67052-9211
Phone
(615) 896-6400
NPI assigned
Jun 3, 2007
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Yes

Addresses

Primary practice location

501 Easy St
Goddard, KS 67052-9211

Mailing address

1352 Broadmoor St
Derby, KS 67037-4017
Phone (615) 896-6400

Other providers in Goddard, KS

All providers in Goddard, KS · Physical Therapy Assistant in Kansas

Sources for this page

Verify at the official NPI Registry.