Evelyn Faith Lafferty, MA60752919
Individual provider Active NPI Massage Therapist · Newcastle, WA
NPI 1497219661 · NPPES record last updated Jan 22, 2019
Key facts
- NPI
- 1497219661
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA60752919 (WA)
- Practice address
- 6985 Coal Creek Pkwy SE
Newcastle, WA 98059 - Phone
- (425) 378-0500
- NPI assigned
- Jan 22, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60752919 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60752919 | WA | Yes |
Addresses
Primary practice location
6985 Coal Creek Pkwy SE
Newcastle, WA 98059
Mailing address
6985 Coal Creek Pkwy SE
Newcastle, WA 98059
Other providers in Newcastle, WA
- Courtney King
- Kathleen Maura Koenig
- Victoria Kolbel
- Krista Kowalchik
- Jessie Nga Kwok Kwan
- Linda Lander
- Tess Caroline Lang
- Erik Hans Larson
- Bridget Lavaveshkul
- Meaghan Alys Lawler
All providers in Newcastle, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.