MEDICARE: DR. DIANNA LYNNE RAFFERTY D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC005402R	PA
2	111NR0400X	Rehabilitation Chiropractor	DC005402R	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RA1420259	OTHER	PA	HIGHMARK

General Provider Information

NPI Number	:	1336367291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DIANNA LYNNE RAFFERTY D.C.

Provider Business Mailing Address
First Line	:	1264 PITTSBURGH RD
Second Line	:
City	:	UNIONTOWN
State	:	PA
Zip	:	15401-6220
Country	:	US
Telephone Number	:	724-434-2250
Fax Number	:

Provider Business Practice Location Address
First Line	:	1264 PITTSBURGH RD
Second Line	:
City	:	UNIONTOWN
State	:	PA
Zip	:	15401-6220
Country	:	US
Telephone Number	:	724-434-2250
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	09/11/2025

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