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NPI Code Detail

MEDICARE: SHENA LEFTWICH BSRT, RRT-RCP

MEDICARE: SHENA LEFTWICH BSRT, RRT-RCP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12278P3900XNeonatal/Pediatric Certified Respiratory Therapist5584NC

General Provider Information

NPI Number : 1568391456
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHENA LEFTWICH BSRT, RRT-RCP
Provider Business Mailing Address
First Line : 4779 US HIGHWAY 601 N
Second Line :
City : MOCKSVILLE
State : NC
Zip : 27028-6281
Country : US
Telephone Number : 336-577-1613
Fax Number :
Provider Business Practice Location Address
First Line : 1000 BLYTHE BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-5812
Country : US
Telephone Number : 336-577-1613
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2026
Last Update Date : 05/16/2026

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