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

Lori Waller, PTA

Individual provider Physical Therapy Assistant · NPI 1639309693

Lori Waller, PTA is a Physical Therapy Assistant in Gaffney, South Carolina. Licensed in Connecticut and South Carolina. Registered with an NPI since 2009.

Licensed in
CT, SC
In the registry since
2009
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

101 Park Ct
Gaffney, SC 29341-7021
Phone: (864) 206-0006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3004 (SC)
Physical Therapy Assistant Taxonomy 225200000X · Licence 000992 (CT)

Record details

NPI number1639309693
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 23, 2009
Last updated in NPPESJuly 21, 2022
Mailing address271 Pyrenees Dr, Lyman, SC 29365

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