Provider Demographics
NPI:1598834236
Name:STEVENS, CATHY LOU (RRT)
Entity Type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:LOU
Last Name:STEVENS
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 1:1007 SAXON CT
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33510-2719
Mailing Address - Country:US
Mailing Address - Phone:813-643-8530
Mailing Address - Fax:
Practice Address - Street 1:1007 SAXON CT
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33510-2719
Practice Address - Country:US
Practice Address - Phone:813-643-8530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered