Provider Demographics
NPI:1427803832
Name:TYNDALL, CHRISTOPHER RONALD (RRT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:RONALD
Last Name:TYNDALL
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1247 OSAGE ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55117-4029
Mailing Address - Country:US
Mailing Address - Phone:651-373-7796
Mailing Address - Fax:
Practice Address - Street 1:1247 OSAGE ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55117-4029
Practice Address - Country:US
Practice Address - Phone:651-373-7796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN36122279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care