Provider Demographics
NPI:1427209568
Name:CARPENTER, AVA COLETTE (RRT)
Entity Type:Individual
Prefix:MS
First Name:AVA
Middle Name:COLETTE
Last Name:CARPENTER
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 1:2803 GENERAL MANEY CT
Mailing Address - Street 2:
Mailing Address - City:LA VERGNE
Mailing Address - State:TN
Mailing Address - Zip Code:37086-2761
Mailing Address - Country:US
Mailing Address - Phone:615-948-9772
Mailing Address - Fax:
Practice Address - Street 1:2803 GENERAL MANEY CT
Practice Address - Street 2:
Practice Address - City:LA VERGNE
Practice Address - State:TN
Practice Address - Zip Code:37086-2761
Practice Address - Country:US
Practice Address - Phone:615-948-9772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2409227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered