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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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