Madison Boles

Individual provider Active NPI Registered Respiratory Therapist · Livingston, TN

NPI 1245095017 · NPPES record last updated Feb 20, 2024

Key facts

NPI
1245095017
Entity type
Individual (NPI type 1)
Primary specialty
Registered Respiratory Therapist 227900000X
License
8908 (TN)
Practice address
102 W Court SQ
Livingston, TN 38570-1882
Phone
(833) 887-2919
Fax
(615) 691-7141
NPI assigned
Feb 20, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Eventa LLC Current
since Feb 25, 2024
Accepting new patients

Locations

102 W Court Sq
Livingston, TN 38570
Phone (833) 887-2919

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 8908 TN Yes

Addresses

Primary practice location

102 W Court SQ
Livingston, TN 38570-1882

Mailing address

102 W Court SQ
Livingston, TN 38570-1882
Phone (833) 887-2919

Other providers in Livingston, TN

All providers in Livingston, TN · Registered Respiratory Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.