Provider Demographics
NPI:1376818138
Name:WEST, ROBYN AMANDA (RRT)
Entity type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:AMANDA
Last Name:WEST
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W2270 BLOCK RD
Mailing Address - Street 2:
Mailing Address - City:KAUKAUNA
Mailing Address - State:WI
Mailing Address - Zip Code:54130-8443
Mailing Address - Country:US
Mailing Address - Phone:920-427-0330
Mailing Address - Fax:
Practice Address - Street 1:W2270 BLOCK RD
Practice Address - Street 2:
Practice Address - City:KAUKAUNA
Practice Address - State:WI
Practice Address - Zip Code:54130-8443
Practice Address - Country:US
Practice Address - Phone:920-427-0330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3085-282278P1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Rehabilitation