Provider Demographics
NPI:1548783442
Name:ARKHAM, LOTTIE LYDIA (LMT)
Entity Type:Individual
Prefix:
First Name:LOTTIE
Middle Name:LYDIA
Last Name:ARKHAM
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:LOTTIE
Other - Middle Name:LYDIA
Other - Last Name:ARENSMEIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:1237 ASH AVE
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:OR
Mailing Address - Zip Code:97424-1402
Mailing Address - Country:US
Mailing Address - Phone:541-430-8116
Mailing Address - Fax:
Practice Address - Street 1:1524 WILLAMETTE ST STE 100
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4093
Practice Address - Country:US
Practice Address - Phone:541-762-1777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-23
Last Update Date:2017-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR20768225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist