Basic Information
| Provider Information | |||||||||
| NPI: | 1114679842 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ACKER | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | THOMAS | ||||||||
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| Credential: | RRT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 232 KEYSTONE DR NE | ||||||||
| Address2: | |||||||||
| City: | PINE ISLAND | ||||||||
| State: | MN | ||||||||
| PostalCode: | 559637587 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5072595678 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1216 2ND ST SW | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | MN | ||||||||
| PostalCode: | 559021906 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5072555123 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/24/2022 | ||||||||
| LastUpdateDate: | 01/24/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/24/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2278C0205X | 4479 | MN | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Critical Care |
No ID Information.