Provider Demographics
NPI:1093038051
Name:LOFFER, TERESA K (CNA, EMT)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:K
Last Name:LOFFER
Suffix:
Gender:F
Credentials:CNA, EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 S PINE ST
Mailing Address - Street 2:
Mailing Address - City:LINDSBORG
Mailing Address - State:KS
Mailing Address - Zip Code:67456-2734
Mailing Address - Country:US
Mailing Address - Phone:785-906-0442
Mailing Address - Fax:
Practice Address - Street 1:524 S PINE ST
Practice Address - Street 2:
Practice Address - City:LINDSBORG
Practice Address - State:KS
Practice Address - Zip Code:67456-2734
Practice Address - Country:US
Practice Address - Phone:785-906-0442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-05
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator