Doctor Name: | MRS. BERNADETTE LEE LAFFERTY |
NPI Number: | 1174838692 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | MT-13777 |
Business Practice Address: | 634 Schemmer Dr Suite 202 Prescott, AZ - 863052362 |
Business Phone Number: | 9289253051 |
Business Fax Number: | |
Mailing Address: | 1930 S. Road 1 West, CHINO VALLEY |
State: | AZ |
Postal Code: | 86323 |
Phone Number: | 9289253051 |
Fax Number: | |
NPI Enumeration Date: | 08/09/2010 |
NPI Last Update Date: | 10/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT-13777 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |