Provider Demographics
NPI:1598154346
Name:E-THERAPY
Entity Type:Organization
Organization Name:E-THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARAFINIUK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-814-4990
Mailing Address - Street 1:PO BOX 93
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10528-0093
Mailing Address - Country:US
Mailing Address - Phone:928-814-4990
Mailing Address - Fax:
Practice Address - Street 1:2812 W HARE DR
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-2583
Practice Address - Country:US
Practice Address - Phone:928-814-4990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-16
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ101475251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health