Individual
MRS. KRYSTAL LAFFERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6047 S MAIN STREET RD, VINCENNES, IN 47591-9178
(812) 890-9135
Mailing address
6047 S MAIN STREET RD, VINCENNES, IN 47591-9178
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004091A
IN
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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