Provider Demographics
NPI:1578683413
Name:UHLER, LORI MAE (LMT)
Entity Type:Individual
Prefix:MISS
First Name:LORI
Middle Name:MAE
Last Name:UHLER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1409
Mailing Address - Street 2:
Mailing Address - City:YELM
Mailing Address - State:WA
Mailing Address - Zip Code:98597-1409
Mailing Address - Country:US
Mailing Address - Phone:360-458-7533
Mailing Address - Fax:360-458-7699
Practice Address - Street 1:211 YELM AVE WEST
Practice Address - Street 2:SUITE A
Practice Address - City:YELM
Practice Address - State:WA
Practice Address - Zip Code:98597
Practice Address - Country:US
Practice Address - Phone:360-458-7533
Practice Address - Fax:360-458-7699
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00007001225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist