Provider Demographics
NPI:1083959043
Name:DAY, LORI JANE (CMT, MMP)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:JANE
Last Name:DAY
Suffix:
Gender:F
Credentials:CMT, MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1854 BOBWHITE RD.
Mailing Address - Street 2:
Mailing Address - City:HEALTH SPRINGS
Mailing Address - State:SC
Mailing Address - Zip Code:29058
Mailing Address - Country:US
Mailing Address - Phone:619-857-4677
Mailing Address - Fax:
Practice Address - Street 1:758 TYVOLA ROAD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28217
Practice Address - Country:US
Practice Address - Phone:919-867-2022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-03
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15123225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist