Provider Demographics
NPI:1932492386
Name:BATCHELLER, LORI J (LMT, MPT)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:J
Last Name:BATCHELLER
Suffix:
Gender:F
Credentials:LMT, MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1085 TANTRA PARK CIR
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80305-6190
Mailing Address - Country:US
Mailing Address - Phone:303-818-7366
Mailing Address - Fax:
Practice Address - Street 1:5350 MANHATTAN CIR
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-4291
Practice Address - Country:US
Practice Address - Phone:393-818-7366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-18
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9669225700000X
COPTL.0002594225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist