MEDICARE: MRS. CATHY J LAFEVER LMT

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	172M00000X	Mechanotherapist	3588	SC

General Provider Information

NPI Number	:	1679719181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CATHY J LAFEVER LMT

Provider Business Mailing Address
First Line	:	1084 BOILING SPRINGS RD
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29303-2247
Country	:	US
Telephone Number	:	864-706-8528
Fax Number	:

Provider Business Practice Location Address
First Line	:	1084 BOILING SPRINGS RD
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29303-2247
Country	:	US
Telephone Number	:	864-706-8528
Fax Number	:

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

Provider Enumeration Date	:	01/05/2009
Last Update Date	:	03/09/2010

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