Provider Demographics
NPI:1982004727
Name:LLOYD, DEBBIE (PT)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:
Last Name:LLOYD
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:PO BOX 370707
Mailing Address - Street 2:
Mailing Address - City:MONTARA
Mailing Address - State:CA
Mailing Address - Zip Code:94037-0707
Mailing Address - Country:US
Mailing Address - Phone:650-728-2699
Mailing Address - Fax:
Practice Address - Street 1:1041 CEDAR ST.
Practice Address - Street 2:
Practice Address - City:MONTARA
Practice Address - State:CA
Practice Address - Zip Code:94037-0707
Practice Address - Country:US
Practice Address - Phone:650-728-2699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-29
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14902172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist