Chest Pt 101, LLC
Respiratory Therapist, Registered in Lakeland, FL. Organization (NPI-2).
NPI number1922649151
StatusActive
Last updated in NPPESFeb 12, 2020
Details
- NPI
- 1922649151
- Entity type
- Organization (NPI-2)
- Legal business name
- Chest Pt 101, LLC
- Organization subpart
- No
- Enumeration date
- Sep 29, 2019
- Certification date
- Feb 12, 2020
- Last updated
- Feb 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 227900000X | Respiratory Therapist, Registered | – | – | Yes |
| 2279P1006X | Respiratory Therapist, Registered, Pulmonary Function Technologist | – | – | |
| 251E00000X | Home Health | – | – | |
| 133V00000X | Dietitian, Registered | – | – | |
| 163W00000X | Registered Nurse | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 2279E1000X | Respiratory Therapist, Registered, Educational | – | – | |
| 2279P1005X | Respiratory Therapist, Registered, Pulmonary Rehabilitation | – | – |
Practice location
4745 Old Highway 37 Ste 103Lakeland, FL 33813-2031
Phone 833-327-8101 · Fax 833-327-8101
Mailing address
4745 Old Highway 37 Ste 103Lakeland, FL 33813-2031
Phone 833-327-8101 · Fax 833-327-8101
Authorized official
Tamika L Grubbs
Don
4077300795
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