| Doctor Name: | RICKY TRIBBLE |
| NPI Number: | 1023380045 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | SLPA |
| License Number: | R#12-007 |
| Business Practice Address: | 708 Windover Rd Ste A Jonesboro, AR - 724016064 |
| Business Phone Number: | 8703360238 |
| Business Fax Number: | |
| Mailing Address: | 708 Windover Rd Ste A, JONESBORO |
| State: | AR |
| Postal Code: | 724016064 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/07/2012 |
| NPI Last Update Date: | 02/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225500000X |
| License Number: | R#12-007 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |