Provider Demographics
NPI:1013035187
Name:LLOYD, DAVID THOMAS (PT, MSPT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:THOMAS
Last Name:LLOYD
Suffix:
Gender:M
Credentials:PT, MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 W SHORE RD
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:NH
Mailing Address - Zip Code:03241-7312
Mailing Address - Country:US
Mailing Address - Phone:603-744-3329
Mailing Address - Fax:
Practice Address - Street 1:345 NH ROUTE 104
Practice Address - Street 2:
Practice Address - City:NEW HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03256-4219
Practice Address - Country:US
Practice Address - Phone:603-744-3329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2947225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30621YMedicare UPIN
NHRE7740Medicare ID - Type Unspecified