| Doctor Name: | LORRAINE KIRKHAM |
| NPI Number: | 1053651257 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T, |
| License Number: | PT-1316 |
| Business Practice Address: | 469 S Mountain View St Suite 2 Powell, WY - 824352535 |
| Business Phone Number: | 3077541235 |
| Business Fax Number: | 3077543792 |
| Mailing Address: | 408 Hamilton Way, POWELL |
| State: | WY |
| Postal Code: | 82435 |
| Phone Number: | 3072542952 |
| Fax Number: | 3077543792 |
| NPI Enumeration Date: | 02/25/2013 |
| NPI Last Update Date: | 08/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT-1316 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| 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 |