IndividualActive
Johnny Smith, RRT
NPI 1629310560 · Registered Respiratory Therapist · Jackson, MS
Provider details
- NPI number
- 1629310560
- Entity type
- Individual
- Primary specialty
- Registered Respiratory TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- RRT
- Sex
- Male
- Sole proprietor
- No
- License
- RCP1286 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Phone: (601) 362-4471
Fax: (601) 364-1222
Approximate (ZIP-level) locationGet directions
Mailing address
1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Registry dates
- Enumerated
- 2013-03-18
- Last updated
- 2013-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.