Provider Demographics
NPI:1669438545
Name:FRANCIS, LORI SIMPSON (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:SIMPSON
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:SIMPSON
Other - Last Name:WELLS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSPT
Mailing Address - Street 1:1901 S MAIN ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-6600
Mailing Address - Country:US
Mailing Address - Phone:540-552-3422
Mailing Address - Fax:540-552-2296
Practice Address - Street 1:1901 S MAIN ST
Practice Address - Street 2:SUITE 8
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-6600
Practice Address - Country:US
Practice Address - Phone:540-552-3422
Practice Address - Fax:540-552-2296
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305202449225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1023023678OtherNPI GROUP
VA7193190OtherAETNA
NC1649360686OtherBILLING NPI
VA193617OtherANTHEM
VA7193190OtherAETNA