Provider Demographics
NPI:1497103949
Name:LOKEY, ABRAHAM JAMES (DPT)
Entity Type:Individual
Prefix:
First Name:ABRAHAM
Middle Name:JAMES
Last Name:LOKEY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2360 S REDWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84119-2027
Mailing Address - Country:US
Mailing Address - Phone:801-975-1660
Mailing Address - Fax:801-973-0605
Practice Address - Street 1:2360 S REDWOOD RD
Practice Address - Street 2:
Practice Address - City:WEST VALLEY CITY
Practice Address - State:UT
Practice Address - Zip Code:84119-2027
Practice Address - Country:US
Practice Address - Phone:801-975-1660
Practice Address - Fax:801-973-0605
Is Sole Proprietor?:No
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9802890-2401225100000X
IDPT - 4660225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist