Organization
PROFESSIONAL RESPIRATORY SERVICES
Active
Other names
Professional Respiratory and Medical
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA L. CRUMP RRT (PRESIDENT)
(423) 954-8901
Entity
Organization
Contact information
Practice address
98 N STAR DR STE B, JACKSON, TN 38305-5684
(731) 300-4784
(731) 300-4783
Mailing address
2180 STEIN DR, SUITE 106, CHATTANOOGA, TN 37421-7247
(423) 284-6142
(423) 954-8901
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
812
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454665
—
TN
Enumeration date
03/11/2014
Last updated
03/11/2014
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