Provider Demographics
NPI:1447671748
Name:BARTHELMAN, LORA (MS, MT-BC)
Entity type:Individual
Prefix:
First Name:LORA
Middle Name:
Last Name:BARTHELMAN
Suffix:
Gender:F
Credentials:MS, MT-BC
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:
Other - Last Name:BARTHELMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3304 S FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57103-7266
Mailing Address - Country:US
Mailing Address - Phone:605-371-1529
Mailing Address - Fax:
Practice Address - Street 1:3304 S FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57103-7266
Practice Address - Country:US
Practice Address - Phone:605-310-8268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-03
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist