Provider Demographics
NPI:1679507784
Name:TOOKER, LORI L (PT)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:L
Last Name:TOOKER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W HAWKINS PKWY
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-1864
Mailing Address - Country:US
Mailing Address - Phone:903-234-0999
Mailing Address - Fax:903-234-9698
Practice Address - Street 1:100 W HAWKINS PKWY
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-1864
Practice Address - Country:US
Practice Address - Phone:903-234-0999
Practice Address - Fax:903-234-9698
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1114353225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist