Provider Demographics
NPI:1437476835
Name:AUSTIN, TRISA ELAINE (RRT)
Entity Type:Individual
Prefix:MRS
First Name:TRISA
Middle Name:ELAINE
Last Name:AUSTIN
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 1:7933 S GLASGOW ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85747-9252
Mailing Address - Country:US
Mailing Address - Phone:520-574-3024
Mailing Address - Fax:
Practice Address - Street 1:3350 E GRANT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-2800
Practice Address - Country:US
Practice Address - Phone:520-326-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ22352279E1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279E1000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredEducational