Provider Demographics
NPI:1245486588
Name:LAMPHERE, TORI DUCHESNEAU (DPT)
Entity type:Individual
Prefix:MRS
First Name:TORI
Middle Name:DUCHESNEAU
Last Name:LAMPHERE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:TORI
Other - Middle Name:LYNN
Other - Last Name:DUCHESNEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:905 ROOSEVELT HWY
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:VT
Mailing Address - Zip Code:05446-4475
Mailing Address - Country:US
Mailing Address - Phone:802-861-0111
Mailing Address - Fax:
Practice Address - Street 1:905 ROOSEVELT HWY
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:VT
Practice Address - Zip Code:05446-4475
Practice Address - Country:US
Practice Address - Phone:802-861-0111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT040-0003785225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist