Individual
CHANTELL TRACIE SHREVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
1378 BELLEFONTAINE AVE, LIMA, OH 45804-3110
(419) 224-5410
Mailing address
1378 BELLEFONTAINE AVE, LIMA, OH 45804-3110
(419) 224-5410
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
7636
OH
227900000X
Registered Respiratory Therapist
Primary
7636
OH
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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