Provider Demographics
NPI:1215466370
Name:NAFE, LAURIE (ATC)
Entity type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:
Last Name:NAFE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:MS
Other - First Name:LAURIE
Other - Middle Name:
Other - Last Name:DANIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:119 1/2 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:KS
Mailing Address - Zip Code:67063-1138
Mailing Address - Country:US
Mailing Address - Phone:307-871-8982
Mailing Address - Fax:
Practice Address - Street 1:411 E SOUTHEAST LOOP 323
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-9633
Practice Address - Country:US
Practice Address - Phone:903-262-2625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-12
Last Update Date:2017-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer