Individual
LAURA M EFTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
25012 104TH AVE SE, SUITE C, KENT, WA 98030-2821
(253) 856-3477
(253) 856-3478
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008214
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135571
DEPT OF LABOR AND INDUSTR
WA
01
—
2857EF
REGENCE BLUE SHIELD
WA
01
—
650018956
RAILROAD MEDICARE
WA
01
—
650018957
RAILROAD MEDICARE
WA
05
—
8344871
—
WA
01
—
8935169
CRIME VICTIMS
WA
01
—
A007
TRICARE
WA
Enumeration date
06/08/2006
Last updated
07/03/2015
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