Provider Demographics
NPI:1346903275
Name:BILLY, TAWNYA LYNN (RESPIRATORY THERAPIS)
Entity Type:Individual
Prefix:
First Name:TAWNYA
Middle Name:LYNN
Last Name:BILLY
Suffix:
Gender:F
Credentials:RESPIRATORY THERAPIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1855
Mailing Address - Street 2:
Mailing Address - City:SHEEP SPRINGS
Mailing Address - State:NM
Mailing Address - Zip Code:87364-1855
Mailing Address - Country:US
Mailing Address - Phone:505-300-8671
Mailing Address - Fax:
Practice Address - Street 1:N7, CORNER OF ROUTES N12
Practice Address - Street 2:
Practice Address - City:FORT DEFIANCE
Practice Address - State:AZ
Practice Address - Zip Code:86504
Practice Address - Country:US
Practice Address - Phone:928-729-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-18
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORTL.0006773227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified