MEDICARE: MISS LAURIN SNELLER RRT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	227900000X	Registered Respiratory Therapist	RRT0000006011	TN

General Provider Information

NPI Number	:	1730561531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS LAURIN SNELLER RRT

Provider Business Mailing Address
First Line	:	2914 WATAUGA RD APT 1302
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37601-3878
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2914 WATAUGA RD APT 1302
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37601-3878
Country	:	US
Telephone Number	:	423-737-0986
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2015
Last Update Date	:	06/29/2015

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Directions to “ MISS LAURIN SNELLER RRT” Practice Location

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