Healthcare Provider Details

I. General information

NPI: 1558046888
Provider Name (Legal Business Name): ADAM PAUL WRIGHT CRT, RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2023
Last Update Date: 06/15/2023
Certification Date: 06/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2712 S MASELLI CT
VISALIA CA
93277-5528
US

IV. Provider business mailing address

2712 S MASELLI CT
VISALIA CA
93277-5528
US

V. Phone/Fax

Practice location:
  • Phone: 559-786-8617
  • Fax:
Mailing address:
  • Phone: 559-786-8617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number41236
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: