Provider Demographics
NPI:1205972379
Name:SAIGE, LORI MARIE (PT)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:MARIE
Last Name:SAIGE
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 271150
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-5021
Mailing Address - Country:US
Mailing Address - Phone:303-442-0621
Mailing Address - Fax:303-442-8218
Practice Address - Street 1:5377 MANHATTAN CIR
Practice Address - Street 2:SUITE 202
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-4333
Practice Address - Country:US
Practice Address - Phone:303-442-0621
Practice Address - Fax:303-442-8218
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1746225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COP2203Medicare ID - Type Unspecified