Provider Demographics
NPI:1326528811
Name:LADUKE, DONNA CASEY (RRT)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:CASEY
Last Name:LADUKE
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 1:11533 FOREST HILL CIR
Mailing Address - Street 2:
Mailing Address - City:SELLERSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47172-8639
Mailing Address - Country:US
Mailing Address - Phone:502-693-5407
Mailing Address - Fax:
Practice Address - Street 1:BAPTIST HEALTH FLOYD
Practice Address - Street 2:1850 STATE STREET
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150
Practice Address - Country:US
Practice Address - Phone:812-949-7415
Practice Address - Fax:812-949-7120
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN131868227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN131868OtherRRT