Provider Demographics
NPI:1528361920
Name:REIBLE, LORI A (DPT)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:A
Last Name:REIBLE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-4201
Mailing Address - Country:US
Mailing Address - Phone:978-846-0591
Mailing Address - Fax:
Practice Address - Street 1:240 CRAFT DR
Practice Address - Street 2:
Practice Address - City:ALAMOSA
Practice Address - State:CO
Practice Address - Zip Code:81101-2274
Practice Address - Country:US
Practice Address - Phone:719-589-3367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-07
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18449225100000X
CO10987225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist