Provider Demographics
NPI:1558530410
Name:POINTER, RICK D (RRT, CPFT, RPSGT)
Entity Type:Individual
Prefix:
First Name:RICK
Middle Name:D
Last Name:POINTER
Suffix:
Gender:M
Credentials:RRT, CPFT, RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 MILLBROOK RD
Mailing Address - Street 2:
Mailing Address - City:HEBER CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84032-3032
Mailing Address - Country:US
Mailing Address - Phone:435-654-3460
Mailing Address - Fax:
Practice Address - Street 1:182 MILLBROOK RD
Practice Address - Street 2:
Practice Address - City:HEBER CITY
Practice Address - State:UT
Practice Address - Zip Code:84032-3032
Practice Address - Country:US
Practice Address - Phone:435-654-3460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY18227900000X
UT91-115994-5701227900000X
MT1047227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered