NPI 1124763446
Justin Ivie, RRT
Practice location
- Address
- 7400 Merton Minter St, San Antonio, TX 78229-4404
- Phone
- (210) 617-5300
- Mailing address
- 1438 Smoky Fennel, San Antonio, TX 78245-3279
Registered specialties
Registered Respiratory Therapist
Primary
Registry record
- NPI
- 1124763446
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 May 2022
- Record last updated
- 2 May 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.