Provider Demographics
NPI:1437843869
Name:PARMENTER, THERESA SHANNON (RRT)
Entity Type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:SHANNON
Last Name:PARMENTER
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:MRS
Other - First Name:THERESA
Other - Middle Name:SHANNON
Other - Last Name:CRAIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RRT
Mailing Address - Street 1:809 MARY AVE
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30904-3141
Mailing Address - Country:US
Mailing Address - Phone:706-513-9704
Mailing Address - Fax:
Practice Address - Street 1:22 BRAMHALL ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102-3134
Practice Address - Country:US
Practice Address - Phone:207-662-0111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical Care