IndividualActive
Mary Bashista, RRT
NPI 1609584119 · Registered Respiratory Therapist · Boise, ID
Provider details
- NPI number
- 1609584119
- Entity type
- Individual
- Primary specialty
- Registered Respiratory TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- RRT
- Sex
- Female
- Sole proprietor
- No
- License
- LRT-914 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
500 W Fort St
Boise, ID 83702-4598
Phone: (208) 422-1420
Fax: (208) 422-1293
Approximate (ZIP-level) locationGet directions
Mailing address
500 W Fort St
Boise, ID 83702-4598
Registry dates
- Enumerated
- 2022-11-14
- Last updated
- 2022-11-14
- Certified
- 2022-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.