Healthcare Provider Details

I. General information

NPI: 1124617188
Provider Name (Legal Business Name): HEATHER L SALEHI RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER L TORRES RRT

II. Dates (important events)

Enumeration Date: 01/14/2021
Last Update Date: 01/14/2021
Certification Date: 01/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6010 W AMARILLO BLVD
AMARILLO TX
79106-1990
US

IV. Provider business mailing address

6010 W AMARILLO BLVD
AMARILLO TX
79106-1990
US

V. Phone/Fax

Practice location:
  • Phone: 806-355-9703
  • Fax:
Mailing address:
  • Phone: 806-355-9703
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRCP00078298
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: