Provider Demographics
NPI:1245768423
Name:TRIMBLE, DENETTE RENEE (RRT, RPSGT, RST)
Entity Type:Individual
Prefix:
First Name:DENETTE
Middle Name:RENEE
Last Name:TRIMBLE
Suffix:
Gender:F
Credentials:RRT, RPSGT, RST
Other - Prefix:
Other - First Name:DENETTE
Other - Middle Name:PARSLEY
Other - Last Name:TRIMBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RRT, RPSGT, RST
Mailing Address - Street 1:6109 STONE CANYON TRL
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76904-7392
Mailing Address - Country:US
Mailing Address - Phone:325-656-6469
Mailing Address - Fax:
Practice Address - Street 1:6109 STONE CANYON TRL
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76904-7392
Practice Address - Country:US
Practice Address - Phone:325-656-6469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRCP00060158227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered