Provider Demographics
NPI:1649976531
Name:SEILER, LORI (LAT, ATC, PES)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:SEILER
Suffix:
Gender:F
Credentials:LAT, ATC, PES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1136 N PEARL ST APT 7
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-4617
Mailing Address - Country:US
Mailing Address - Phone:720-335-8921
Mailing Address - Fax:
Practice Address - Street 1:950 S BIRCH ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-2540
Practice Address - Country:US
Practice Address - Phone:303-759-1513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-02
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAT.00011612255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
COAT.0001161OtherDORA
CO2000010688OtherBOC