Jorene J Thompson

Individual provider Active NPI Certified Respiratory Therapist · Waterflow, NM

NPI 1609471333 · NPPES record last updated Dec 1, 2020

Key facts

NPI
1609471333
Entity type
Individual (NPI type 1)
Primary specialty
Certified Respiratory Therapist 227800000X
License
3584 (NM)
Practice address
6 Rd 6896
Waterflow, NM 87421
Phone
(505) 860-2506
NPI assigned
Dec 1, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3584NMMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X 3584 NM Yes

Addresses

Primary practice location

6 Rd 6896
Waterflow, NM 87421

Mailing address

PO Box 688
Fruitland, NM 87416-0688
Phone (505) 860-2506

Other providers in Waterflow, NM

All providers in Waterflow, NM · Certified Respiratory Therapist in New Mexico

Sources for this page

Verify at the official NPI Registry.