Organization
CHEST PT 101, LLC
Active
Organization
CHEST PT 101, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIKA L GRUBBS RN (DON)
(407) 730-0795
Entity
Organization
Contact information
Practice address
4745 OLD HIGHWAY 37 STE 103, LAKELAND, FL 33813-2031
(833) 327-8101
(833) 327-8101
Mailing address
4745 OLD HIGHWAY 37 STE 103, LAKELAND, FL 33813-2031
(833) 327-8101
(833) 327-8101
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
163W00000X
Registered Nurse
—
—
225100000X
Physical Therapist
—
—
227900000X
Registered Respiratory Therapist
Primary
—
—
2279E1000X
Educational Registered Respiratory Therapist
—
—
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
—
—
2279P1006X
Pulmonary Function Technologist Registered Respiratory Therapist
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
09/29/2019
Last updated
02/12/2020
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