Provider Demographics
NPI:1851789796
Name:CATHEY, LORI
Entity type:Individual
Prefix:MRS
First Name:LORI
Middle Name:
Last Name:CATHEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 NICKELL HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-1213
Mailing Address - Country:US
Mailing Address - Phone:270-331-8871
Mailing Address - Fax:
Practice Address - Street 1:215 NICKELL HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-1213
Practice Address - Country:US
Practice Address - Phone:270-331-8871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-30
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYA01614225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant