Provider Demographics
NPI:1497920896
Name:SPIRES, SHONDA KNOX (BS, RRT-NPS, CPFT)
Entity Type:Individual
Prefix:
First Name:SHONDA
Middle Name:KNOX
Last Name:SPIRES
Suffix:
Gender:F
Credentials:BS, RRT-NPS, CPFT
Other - Prefix:
Other - First Name:SHONDA
Other - Middle Name:KNOX
Other - Last Name:HOUSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, RRT-NPS
Mailing Address - Street 1:510 E STONER AVE
Mailing Address - Street 2:RESPIRATORY THERAPY
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71101-4243
Mailing Address - Country:US
Mailing Address - Phone:318-221-8411
Mailing Address - Fax:
Practice Address - Street 1:510 E STONER AVE
Practice Address - Street 2:RESPIRATORY THERAPY
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-4243
Practice Address - Country:US
Practice Address - Phone:318-221-8411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-25
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARRT.L013172279G1100X, 225B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225B00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPulmonary Function Technologist
No2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care