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General NPI Number Information
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NPI Number | 1578922696
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Entity Type | Individual
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Provider Name | SARAH PFAFF LMT
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Gender | Female
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Dates
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Enumeration Date | 02/17/2016
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 990 S FRONT ST
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City | CENTRAL POINT
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State | OR
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Zip | 97502-2727
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Country | US
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Telephone | 541-531-3427
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Fax |
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Provider Business Mailing Address
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Address Line | 2912 FOOTS CREEK R FORK RD
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City | GOLD HILL
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State | OR
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Zip | 97525-6728
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Country | US
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Telephone | 541-531-3427
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 20839
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License Number State | OR
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