Provider Demographics
NPI:1922099142
Name:SAWYER, LAURA BETH (MSPT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:BETH
Last Name:SAWYER
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187A HIGH ST
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-3125
Mailing Address - Country:US
Mailing Address - Phone:603-772-0708
Mailing Address - Fax:603-772-3491
Practice Address - Street 1:187A HIGH ST
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-3125
Practice Address - Country:US
Practice Address - Phone:603-772-0708
Practice Address - Fax:603-772-3491
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2106225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH7656502OtherAETNA PROVIDER NUMBER
NHAA26635OtherHARVARD PILGRIM PROVIDER
NH08Y005110NH01OtherANTHEM BCBS PROVIDER
NH5909607OtherCIGNA PROVIDER NUMBER
NH7656502OtherAETNA PROVIDER NUMBER