Provider Demographics
NPI:1801118757
Name:FEATHERS, DEBRA JANE (RRT, AEMT)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:JANE
Last Name:FEATHERS
Suffix:
Gender:F
Credentials:RRT, AEMT
Other - Prefix:MISS
Other - First Name:DEBRA
Other - Middle Name:JANE
Other - Last Name:LANDAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6525 MANCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-4724
Mailing Address - Country:US
Mailing Address - Phone:317-570-9460
Mailing Address - Fax:
Practice Address - Street 1:6525 MANCHESTER DR
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-4724
Practice Address - Country:US
Practice Address - Phone:317-570-9460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-19
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1427-9813146M00000X
IN30000051A227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered
No146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, Intermediate