Provider Demographics
NPI:1881184059
Name:GETER, SONYA LAVETTE (MT)
Entity Type:Individual
Prefix:MS
First Name:SONYA
Middle Name:LAVETTE
Last Name:GETER
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 DUNCAN PERRY RD APT 2007
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-2949
Mailing Address - Country:US
Mailing Address - Phone:214-460-9017
Mailing Address - Fax:
Practice Address - Street 1:910 DUNCAN PERRY RD
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-2969
Practice Address - Country:US
Practice Address - Phone:214-460-9017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-14
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT039315225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist