Provider Demographics
NPI:1619760303
Name:ISRAEL, SHIRIAYAH (RRT)
Entity type:Individual
Prefix:
First Name:SHIRIAYAH
Middle Name:
Last Name:ISRAEL
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:M
Other - Last Name:WEBBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RRT
Mailing Address - Street 1:116 MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:AR
Mailing Address - Zip Code:72360-2034
Mailing Address - Country:US
Mailing Address - Phone:901-483-4258
Mailing Address - Fax:
Practice Address - Street 1:116 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:MARIANNA
Practice Address - State:AR
Practice Address - Zip Code:72360-2034
Practice Address - Country:US
Practice Address - Phone:817-495-3801
Practice Address - Fax:817-495-3801
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7699227900000X
MO2024038534227900000X
KY10292227900000X
MSRCP-6121227900000X
ARRCP-4223227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered