NPI 1114645447 · live from the CMS NPI Registry
Andy Martin Alanis Lafarga, PT, DPT
Physical Therapist in Avondale, AZ. National Provider Identifier 1114645447, active.
NPI record
| NPI | 1114645447 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 10750 W Mcdowell Rd Ste B210, Avondale, AZ 85392 |
| Practice phone | 623-907-0746 |
| Mailing address | 2912 W Montecito Ave, Phoenix, AZ 85017 |
| Enumerated | August 22, 2022 |
| Last updated | August 22, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | — |
| Physical Therapist primary | 225100000X | LPT-32515 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.