Provider Demographics
NPI:1497998827
Name:SKUTCH, LAURIE ANN (LPT)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:ANN
Last Name:SKUTCH
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:937 MENOHER BLVD
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-2838
Mailing Address - Country:US
Mailing Address - Phone:814-255-6780
Mailing Address - Fax:814-254-4395
Practice Address - Street 1:937 MENOHER BLVD
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15905-2838
Practice Address - Country:US
Practice Address - Phone:814-255-6780
Practice Address - Fax:814-254-4395
Is Sole Proprietor?:No
Enumeration Date:2009-04-15
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013478L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist