Provider Demographics
NPI:1013209915
Name:LOUGHRY, ROBERT M (ATC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:M
Last Name:LOUGHRY
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 STROPE RD
Mailing Address - Street 2:
Mailing Address - City:BURGETTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15021-9640
Mailing Address - Country:US
Mailing Address - Phone:724-587-5633
Mailing Address - Fax:
Practice Address - Street 1:314 STROPE RD
Practice Address - Street 2:
Practice Address - City:BURGETTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15021-9640
Practice Address - Country:US
Practice Address - Phone:724-587-5633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer