Provider Demographics
NPI:1609325281
Name:MCCLAY, SAMANDREA LYNN (RRT)
Entity Type:Individual
Prefix:
First Name:SAMANDREA
Middle Name:LYNN
Last Name:MCCLAY
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 1:4990 N CALLE PRIMULA
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85749-9449
Mailing Address - Country:US
Mailing Address - Phone:520-358-7411
Mailing Address - Fax:
Practice Address - Street 1:3350 E GRANT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-2800
Practice Address - Country:US
Practice Address - Phone:800-477-7462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-23
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ009297227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered