Michael Lafferty, PTA

NPI #1093147308 in Weiser, Idaho

Provider Information

NPI Number
1093147308
Entity Type
Individual
Name
Michael Lafferty, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Aug 8, 2013
Last Updated
Aug 8, 2013

Practice Location

Address
331 E PARK ST
City
Weiser
State
Idaho
ZIP Code
83672-2053
Phone
(208) 549-2416

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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