Provider Demographics
NPI:1952813164
Name:LOFFREDO, RAYMOND ANTHONY III (PT, DPT, ATC)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:ANTHONY
Last Name:LOFFREDO
Suffix:III
Gender:M
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:985 W LYMAN LN
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-3764
Mailing Address - Country:US
Mailing Address - Phone:425-422-9498
Mailing Address - Fax:
Practice Address - Street 1:5925 W ARIZONA PAVILIONS DR UNIT 115
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85743-7391
Practice Address - Country:US
Practice Address - Phone:520-467-7690
Practice Address - Fax:520-467-7691
Is Sole Proprietor?:No
Enumeration Date:2017-10-27
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPT-033311225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist