Provider Demographics
NPI:1114373776
Name:LAFITTE, CATHERINE (LMT,CHT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:LAFITTE
Suffix:
Gender:F
Credentials:LMT,CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 S 400 E
Mailing Address - Street 2:
Mailing Address - City:CLEARFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84015-1020
Mailing Address - Country:US
Mailing Address - Phone:801-502-8227
Mailing Address - Fax:
Practice Address - Street 1:149 S 400 E
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:UT
Practice Address - Zip Code:84015-1020
Practice Address - Country:US
Practice Address - Phone:801-498-0145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-12
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6140172-4701225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist