Provider Demographics
NPI:1760825434
Name:BRIDGES, LINDA J (RRT)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:J
Last Name:BRIDGES
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 1:330 RANKIN RD
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39042-9628
Mailing Address - Country:US
Mailing Address - Phone:601-941-9453
Mailing Address - Fax:
Practice Address - Street 1:330 RANKIN ROAD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:UNITED STATES
Practice Address - Zip Code:39042
Practice Address - Country:UM
Practice Address - Phone:601-941-9453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-12
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSRCP13142278C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedCritical Care