Loralei Loucakis, L.M.T.
Individual provider Active NPI Massage Therapist · Bigfork, MT
NPI 1851710172 · NPPES record last updated Nov 4, 2016
Key facts
- NPI
- 1851710172
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 1312 (MT)
- Practice address
- 191 Jewel Basin CT Ste 3C
Bigfork, MT 59911-6294 - Phone
- (406) 314-1809
- NPI assigned
- Apr 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 1312 | MT | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flathead Massage Professionals, LLC | Massage Therapist | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 1312 | MT | Yes |
Addresses
Primary practice location
191 Jewel Basin CT Ste 3C
Bigfork, MT 59911-6294
Mailing address
191 Jewel Basin CT Ste 3C
Bigfork, MT 59911-6294
Phone (406) 314-1809
Other names
- Lori Loucakis
Other providers in Bigfork, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2016. 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.