IndividualActive
Chris Jackson, CRT
NPI 1770193526 · Certified Respiratory Therapist · Meridian, ID
Provider details
- NPI number
- 1770193526
- Entity type
- Individual
- Primary specialty
- Certified Respiratory TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CRT
- Sex
- Male
- Sole proprietor
- No
- License
- LRT-1569 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3067 E Copper Point Dr
Meridian, ID 83642-1740
Phone: (208) 287-1733
Approximate (ZIP-level) locationGet directions
Mailing address
19615 Hartford Ave
Caldwell, ID 83605-4973
Registry dates
- Enumerated
- 2020-08-06
- Last updated
- 2020-08-06
- Certified
- 2020-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.