Provider Demographics
NPI:1619477072
Name:RAFFERTY, MARGARET (MT-BC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:RAFFERTY
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3151 FOX SEDGE LN
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-7592
Mailing Address - Country:US
Mailing Address - Phone:203-722-8045
Mailing Address - Fax:
Practice Address - Street 1:3151 FOX SEDGE LN
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-7592
Practice Address - Country:US
Practice Address - Phone:203-722-8045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-12
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO225A00000XMedicaid