Provider Demographics
NPI:1164993952
Name:BLEVINS, ALICIA (RRT)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:BLEVINS
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8234 NIESSEN WAY
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-2719
Mailing Address - Country:US
Mailing Address - Phone:916-223-5996
Mailing Address - Fax:
Practice Address - Street 1:8234 NIESSEN WAY
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-2719
Practice Address - Country:US
Practice Address - Phone:916-223-5996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered