Provider Demographics
NPI:1225332224
Name:JONES, LORRIE (LMT, MMP)
Entity Type:Individual
Prefix:
First Name:LORRIE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LMT, MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13475 FIELDCREEK LN
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-6602
Mailing Address - Country:US
Mailing Address - Phone:775-722-5550
Mailing Address - Fax:
Practice Address - Street 1:13475 FIELDCREEK LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-6602
Practice Address - Country:US
Practice Address - Phone:775-722-5550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-05
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2360225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist