NPI 1770193526

Chris Jackson, CRT

Practitioner Certified Respiratory Therapist Meridian, ID

Practice location

Address: 3067 E Copper Point Dr, Meridian, ID 83642-1740
Phone: (208) 287-1733
Mailing address: 19615 Hartford Ave, Caldwell, ID 83605-4973

Registered specialties

Certified Respiratory Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 227800000X Licence LRT-1569 (ID)

Other Respiratory Therapist, Certified providers in Idaho →

Registry record

NPI: 1770193526
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Aug 2020
Record last updated: 6 Aug 2020

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.