Healthcare Provider Details

I. General information

NPI: 1386268803
Provider Name (Legal Business Name): DANICA PLANTE RESPIRATORY THERAPY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DANICA PLANTE RESPIRATORY THERAPY

II. Dates (important events)

Enumeration Date: 06/01/2020
Last Update Date: 06/01/2020
Certification Date: 06/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SW 10TH AVE
TOPEKA KS
66604-1301
US

IV. Provider business mailing address

1316 SE 18TH TER
TOPEKA KS
66607-1429
US

V. Phone/Fax

Practice location:
  • Phone: 785-354-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number16-05162
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: