Provider Demographics
NPI:1275853962
Name:SAPP, LORI (PT)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:SAPP
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46375 206TH ST
Mailing Address - Street 2:
Mailing Address - City:BRUCE
Mailing Address - State:SD
Mailing Address - Zip Code:57220-5718
Mailing Address - Country:US
Mailing Address - Phone:605-627-5691
Mailing Address - Fax:
Practice Address - Street 1:200 S. PATRICK AVE.
Practice Address - Street 2:
Practice Address - City:WHITE
Practice Address - State:SD
Practice Address - Zip Code:57276
Practice Address - Country:US
Practice Address - Phone:605-629-2881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-04
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD03432251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics