Provider Demographics
NPI:1891877502
Name:YAFFE, SANDRA K (PT)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:K
Last Name:YAFFE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:94 AMHERST STREET
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031
Mailing Address - Country:US
Mailing Address - Phone:603-886-0579
Mailing Address - Fax:603-886-0163
Practice Address - Street 1:144 CANAL STREET
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03064
Practice Address - Country:US
Practice Address - Phone:603-882-6333
Practice Address - Fax:603-889-5460
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA53902251P0200X
NH15762251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0802908YONH02OtherBCBS
NH626514OtherHARVARD PILGRIM
NH761242OtherTUFTS
NH272746OtherCIGNA
NH561822OtherAETNA
NH020377315OtherCOMM TAX ID
NH99560056Medicaid