| Organization Name: | LORI-ANN BLUEMER MPT PA |
| NPI Number: | 1205857323 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORI-ANN BLUEMER (OWNER) |
| Mailing Address: | 640 N Thornton St Post Falls |
| State: | ID US |
| Postal Code: | 83854 |
| Phone Number: | 2086594005 |
| Fax Number: | 2087720246 |
| NPI Enumeration Date: | 07/22/2006 |
| NPI Last Update Date: | 05/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | PT1767 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |