Healthcare Provider Details

I. General information

NPI: 1831085349
Provider Name (Legal Business Name): KORREN RAPPISI RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2025
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9010 S PRIEST DR APT 1053
TEMPE AZ
85284-1070
US

IV. Provider business mailing address

9010 S PRIEST DR APT 1053
TEMPE AZ
85284-1070
US

V. Phone/Fax

Practice location:
  • Phone: 206-399-6194
  • Fax:
Mailing address:
  • Phone: 206-399-6194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberLR00003808
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: