Lori Conner, PTA
Individual provider Active NPI Physical Therapy Assistant · Crane, MO
NPI 1770730640 · NPPES record last updated Aug 22, 2008
Key facts
- NPI
- 1770730640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2001005034 (MO)
- Practice address
- 509 Meadowlark Ave
Crane, MO 65633-9317 - Phone
- (417) 535-6255
- NPI assigned
- Aug 22, 2008
- 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 |
|---|---|---|---|
| 2001005034 | MO | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2001005034 | MO | Yes |
Addresses
Primary practice location
509 Meadowlark Ave
Crane, MO 65633-9317
Mailing address
509 Meadowlark Lane
Crane, MO 65633
Phone (417) 535-6255
Other providers in Crane, MO
- Darlene Benton
- Angela Dawn Boyd
- Tammy Jo Brazeal
- John Edgar Burnett Jr.
- Terry J Burpo
- Cox-Monett Hospital Inc
- Bradley Jason Deans
- Cori Dykes
- Amy D. Gardner
- Billie Jo Green
All providers in Crane, MO · Physical Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2008. 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.