Provider Demographics
NPI:1700987112
Name:LAFERNEY, DEBRA SUE (PT/RMT)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:SUE
Last Name:LAFERNEY
Suffix:
Gender:F
Credentials:PT/RMT
Other - Prefix:
Other - First Name:DEBBIE
Other - Middle Name:SUE
Other - Last Name:LAFERNEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT/RMT
Mailing Address - Street 1:5575 WARREN PKWY
Mailing Address - Street 2:SUITE 310
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4062
Mailing Address - Country:US
Mailing Address - Phone:214-618-6480
Mailing Address - Fax:214-618-6481
Practice Address - Street 1:5575 WARREN PKWY
Practice Address - Street 2:SUITE 310
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4062
Practice Address - Country:US
Practice Address - Phone:214-618-6480
Practice Address - Fax:214-618-6481
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1028942225100000X
TXMT029947225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T1078OtherBLUE CROSS/BLUE SHIELD
TX8T1078OtherBLUE CROSS/BLUE SHIELD