Provider Demographics
NPI:1699384867
Name:LOHMAN, KASEY (DPT)
Entity Type:Individual
Prefix:DR
First Name:KASEY
Middle Name:
Last Name:LOHMAN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 SE MCTAGGART RD
Mailing Address - Street 2:
Mailing Address - City:MADRAS
Mailing Address - State:OR
Mailing Address - Zip Code:97741-9607
Mailing Address - Country:US
Mailing Address - Phone:541-475-2571
Mailing Address - Fax:541-475-2590
Practice Address - Street 1:785 SE MCTAGGART RD
Practice Address - Street 2:
Practice Address - City:MADRAS
Practice Address - State:OR
Practice Address - Zip Code:97741-9607
Practice Address - Country:US
Practice Address - Phone:541-475-2571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-23
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR63753225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist