Provider Demographics
NPI:1770892390
Name:PEEK, LORI ELISE (MPT)
Entity type:Individual
Prefix:MS
First Name:LORI
Middle Name:ELISE
Last Name:PEEK
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 JULIAN LANE
Mailing Address - Street 2:SUITE 660
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-7813
Mailing Address - Country:US
Mailing Address - Phone:828-684-3611
Mailing Address - Fax:828-684-3611
Practice Address - Street 1:600 JULIAN LN
Practice Address - Street 2:SUITE 660
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-7813
Practice Address - Country:US
Practice Address - Phone:828-684-3611
Practice Address - Fax:828-684-3611
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12830225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist