Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lori B Gustafson, PTA

Individual provider Physical Therapy Assistant · NPI 1861952194

Lori B Gustafson, PTA is a Physical Therapy Assistant in Valley Head, Alabama. Works from 2 locations. Licensed in Alabama, Georgia, Kansas and Tennessee.

Licensed in
AL, GA, KS, TN
In the registry since
2019
Specialties on file
4
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

3034 County Road 611
Valley Head, AL 35989-4623
Phone: (912) 996-3567
Fax: (855) 232-8604
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6001 Sw 6th Ave Ste 230, Topeka, KS 66615-1004 — (785) 232-9805

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA004592 (GA)
Physical Therapy Assistant Taxonomy 225200000X · Licence 7501 (TN)
Physical Therapy Assistant Taxonomy 225200000X · Licence PTA10177 (AL)
Physical Therapy Assistant Taxonomy 225200000X · Licence 14-03493 (KS)

Record details

NPI number1861952194
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 22, 2019
Last updated in NPPESMay 3, 2021
Certification dateMay 3, 2021
Mailing address3034 County Road 611, Valley Head, AL 35989-4623