Provider Demographics
NPI:1801819214
Name:BUXTON, LORI HAY (PT)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:HAY
Last Name:BUXTON
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 1:9200 W CROSS DR
Mailing Address - Street 2:STE 520
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-0761
Mailing Address - Country:US
Mailing Address - Phone:303-904-8133
Mailing Address - Fax:303-904-8109
Practice Address - Street 1:9200 W CROSS DR STE 520
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-0761
Practice Address - Country:US
Practice Address - Phone:303-904-8133
Practice Address - Fax:303-904-8109
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1924225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO458218Medicare ID - Type UnspecifiedGROUP NUMBER