Provider Demographics
NPI:1144510173
Name:BAAHETH, CARLETTE (RRT)
Entity type:Individual
Prefix:
First Name:CARLETTE
Middle Name:
Last Name:BAAHETH
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:PO BOX 4154
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70178-4154
Mailing Address - Country:US
Mailing Address - Phone:504-931-6568
Mailing Address - Fax:504-218-5498
Practice Address - Street 1:1735 N BROAD ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-2337
Practice Address - Country:US
Practice Address - Phone:504-931-6568
Practice Address - Fax:504-218-5498
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARRT.L010552279E1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279E1000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredEducational