Healthcare Provider Details

I. General information

NPI: 1770498743
Provider Name (Legal Business Name): LORNA DANIELLE SPEIGLE DPT, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 W WESMARK BLVD
SUMTER SC
29150-1955
US

IV. Provider business mailing address

219 ROLLING HILL RD
BOSWELL PA
15531-2055
US

V. Phone/Fax

Practice location:
  • Phone: 803-838-5395
  • Fax: 803-938-5396
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP061028T
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT034376
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: