Provider Demographics
NPI:1700196011
Name:RELIABLE RESPIRATORY THERAPY
Entity Type:Organization
Organization Name:RELIABLE RESPIRATORY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:252-227-4465
Mailing Address - Street 1:PO BOX 20365
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-0365
Mailing Address - Country:US
Mailing Address - Phone:252-227-4465
Mailing Address - Fax:252-830-1675
Practice Address - Street 1:1009 HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-4520
Practice Address - Country:US
Practice Address - Phone:252-227-4465
Practice Address - Fax:252-830-1675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA-2925227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Single Specialty