| Doctor Name: | LORI BENISCH SNOW |
| NPI Number: | 1043262728 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, MS, OCS |
| License Number: | 8691 |
| Business Practice Address: | 290 Nickel St Suite 290 Broomfield, CO - 800202183 |
| Business Phone Number: | 3034609151 |
| Business Fax Number: | 3034607443 |
| Mailing Address: | 295 Broken Fence Rd, Suite 290 BOULDER |
| State: | CO |
| Postal Code: | 803029607 |
| Phone Number: | 3036016666 |
| Fax Number: | 3034473390 |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 01/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 8691 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |