IndividualActive
Ray Bolivar, CRT
NPI 1104195965 · Certified Respiratory Therapist · Fort Defiance, AZ
Provider details
- NPI number
- 1104195965
- Entity type
- Individual
- Primary specialty
- Certified Respiratory TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CRT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 312762 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
Corner of Bia 12 and Bia 7
Fort Defiance, AZ 86504
Phone: (928) 129-3366
Approximate (ZIP-level) locationGet directions
Mailing address
616 S Hardy Dr Unit 203
Tempe, AZ 85281-7816
Registry dates
- Enumerated
- 2011-12-23
- Last updated
- 2011-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.