Provider Demographics
NPI:1689320418
Name:RAILEY RESPIRATORY AND WELLNESS SUPPLY
Entity Type:Organization
Organization Name:RAILEY RESPIRATORY AND WELLNESS SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/RESPIRATORY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DAYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:615-974-1000
Mailing Address - Street 1:271 SPINDLETOP DR
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104-7569
Mailing Address - Country:US
Mailing Address - Phone:615-974-1000
Mailing Address - Fax:
Practice Address - Street 1:271 SPINDLETOP DR
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-7569
Practice Address - Country:US
Practice Address - Phone:615-974-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral CareGroup - Single Specialty