IndividualActive
Diane Moss, R.R.T
NPI 1720465248 · Educational Registered Respiratory Therapist · Grand Rapids, MI
Provider details
- NPI number
- 1720465248
- Entity type
- Individual
- Primary specialty
- Educational Registered Respiratory TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- R.R.T
- Sex
- Female
- Sole proprietor
- No
- License
- 4401001878 (MI)
Practice location
150 Jefferson Ave Se
Grand Rapids, MI 49503-4306
Phone: (616) 685-1433
Fax: (616) 685-1437
Mailing address
150 Jefferson Ave Se
Grand Rapids, MI 49503-4306
Registry dates
- Enumerated
- 2015-05-05
- Last updated
- 2015-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.