Individual
LORA J CLOTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3727 CALIFORNIA AVE SW, SUITE 1-A, SEATTLE, WA 98116-4303
(206) 938-0860
(206) 938-0866
Mailing address
3727 CALIFORNIA AVE SW, SUITE 1-A, SEATTLE, WA 98116-3753
(206) 938-0860
(206) 938-0866
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009027
WA
2251S0007X
Sports Physical Therapist
PT00009027
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0282806
LABOR & INDUSTRIES
WA
01
—
1193SC
REGENCE BLUE SHIELD
WA
05
—
2103821
—
WA
01
—
G8904843
MEDICARE PTAN
WA
Enumeration date
11/18/2005
Last updated
10/13/2022
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