Provider Demographics
NPI:1578174157
Name:TREFFRY, SARA A
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:A
Last Name:TREFFRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 28001
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99228-8001
Mailing Address - Country:US
Mailing Address - Phone:509-953-4946
Mailing Address - Fax:
Practice Address - Street 1:7016 N NORMANDIE ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-3966
Practice Address - Country:US
Practice Address - Phone:509-953-4946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-16
Last Update Date:2020-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty