Provider Demographics
NPI:1922776095
Name:MCCASLIN, LORI DAGENHARDT
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:DAGENHARDT
Last Name:MCCASLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2460 MOUNTAIN VIEW RD
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-9443
Mailing Address - Country:US
Mailing Address - Phone:828-244-8368
Mailing Address - Fax:
Practice Address - Street 1:2460 MOUNTAIN VIEW RD
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-9443
Practice Address - Country:US
Practice Address - Phone:828-244-8368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant