Provider Demographics
NPI:1477998920
Name:PROFESSIONAL RESPIRATORY SERVICES
Entity Type:Organization
Organization Name:PROFESSIONAL RESPIRATORY SERVICES
Other - Org Name:PROFESSIONAL RESPIRATORY AND MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-954-8901
Mailing Address - Street 1:115 HAYFIELD RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-2372
Mailing Address - Country:US
Mailing Address - Phone:865-560-1205
Mailing Address - Fax:865-560-1204
Practice Address - Street 1:115 HAYFIELD RD
Practice Address - Street 2:SUITE A
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-2372
Practice Address - Country:US
Practice Address - Phone:865-560-1205
Practice Address - Fax:865-560-1204
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROFESSIONAL RESPIRATORY SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-09
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN812332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies