Provider Demographics
NPI:1942792833
Name:LAUFER, DAVID P (PT)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:P
Last Name:LAUFER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:743 CASTLE PINES DR N
Mailing Address - Street 2:
Mailing Address - City:KEIZER
Mailing Address - State:OR
Mailing Address - Zip Code:97303-7481
Mailing Address - Country:US
Mailing Address - Phone:424-333-4101
Mailing Address - Fax:
Practice Address - Street 1:743 CASTLE PINES DR N
Practice Address - Street 2:
Practice Address - City:KEIZER
Practice Address - State:OR
Practice Address - Zip Code:97303-7481
Practice Address - Country:US
Practice Address - Phone:424-333-4101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-05
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR62535225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist