Provider Demographics
NPI:1700306685
Name:BOYD, VIRGINIA FREEMAN (RRT)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:FREEMAN
Last Name:BOYD
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 1:7595 E SHADYBROOK LN
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85756-6168
Mailing Address - Country:US
Mailing Address - Phone:520-891-3570
Mailing Address - Fax:
Practice Address - Street 1:SAVAHCS
Practice Address - Street 2:3601 SOUTH 6TH AVENUE
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85723
Practice Address - Country:US
Practice Address - Phone:520-792-1450
Practice Address - Fax:520-629-1779
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-22
Last Update Date:2017-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ012236227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Single Specialty