Provider Demographics
NPI:1134665938
Name:LAFOY, RYAN
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:LAFOY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14322 PAUL MILLS RD
Mailing Address - Street 2:
Mailing Address - City:BUHL
Mailing Address - State:AL
Mailing Address - Zip Code:35446-9290
Mailing Address - Country:US
Mailing Address - Phone:205-393-8105
Mailing Address - Fax:
Practice Address - Street 1:14322 PAUL MILLS RD
Practice Address - Street 2:
Practice Address - City:BUHL
Practice Address - State:AL
Practice Address - Zip Code:35446-9290
Practice Address - Country:US
Practice Address - Phone:205-393-8105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-17
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer