Healthcare Provider Details

I. General information

NPI: 1497920896
Provider Name (Legal Business Name): SHONDA KNOX SPIRES B.S., RRT-NPS, CPFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHONDA KNOX HOUSTON B.S., RRT-NPS

II. Dates (important events)

Enumeration Date: 04/25/2008
Last Update Date: 09/22/2023
Certification Date: 09/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 E STONER AVE RESPIRATORY THERAPY
SHREVEPORT LA
71101-4243
US

IV. Provider business mailing address

510 E STONER AVE RESPIRATORY THERAPY
SHREVEPORT LA
71101-4243
US

V. Phone/Fax

Practice location:
  • Phone: 318-221-8411
  • Fax:
Mailing address:
  • Phone: 318-221-8411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2279G1100X
TaxonomyGeneral Care Registered Respiratory Therapist
License NumberRRT.L01317
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code225B00000X
TaxonomyPulmonary Function Technologist
License NumberRRT.L01317
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: