Provider Demographics
NPI:1952677213
Name:STRATTON, LAURIE BETH (PT, MSPT, NCS, ATP)
Entity Type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:BETH
Last Name:STRATTON
Suffix:
Gender:F
Credentials:PT, MSPT, NCS, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7628 N LA CHOLLA BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-4201
Mailing Address - Country:US
Mailing Address - Phone:520-297-4723
Mailing Address - Fax:520-297-4726
Practice Address - Street 1:7628 N LA CHOLLA BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-4201
Practice Address - Country:US
Practice Address - Phone:520-297-4723
Practice Address - Fax:520-297-4726
Is Sole Proprietor?:No
Enumeration Date:2012-03-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ67942251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1487907986OtherCLINIC MEDICARE NPI