Provider Demographics
NPI:1558926774
Name:TERREBONNE, AMIE (RRT)
Entity Type:Individual
Prefix:MS
First Name:AMIE
Middle Name:
Last Name:TERREBONNE
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 1:3407 HALIBUT POINT RD
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-9527
Mailing Address - Country:US
Mailing Address - Phone:985-691-1431
Mailing Address - Fax:
Practice Address - Street 1:3407 HALIBUT POINT RD
Practice Address - Street 2:
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-9527
Practice Address - Country:US
Practice Address - Phone:985-691-1431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-02
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered