Michael Lafferty, PTA Valid NPI
Individual provider · Physical Therapy Assistant · Weiser, ID
- NPI
- 1093147308
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapy Assistant
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225200000X
- License number
- PTA-3058 (ID)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2013-08-08
- Last updated
- 2013-08-08
Practice location
331 E Park St
Weiser, ID 83672-2053
(208) 549-2416