Provider Demographics
NPI:1639492978
Name:HARPER, LORRIE (MS, PT)
Entity Type:Individual
Prefix:
First Name:LORRIE
Middle Name:
Last Name:HARPER
Suffix:
Gender:F
Credentials:MS, PT
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 44
Mailing Address - Street 2:
Mailing Address - City:EDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84310-0044
Mailing Address - Country:US
Mailing Address - Phone:801-644-8731
Mailing Address - Fax:
Practice Address - Street 1:4794 E 2600 N
Practice Address - Street 2:SUITE B
Practice Address - City:EDEN
Practice Address - State:UT
Practice Address - Zip Code:84310-9535
Practice Address - Country:US
Practice Address - Phone:801-644-8731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT120812-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist