Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Proactive MD, LLC

Organization Pulmonary Diagnostics Registered Respiratory Therapist · NPI 1326346412

Proactive MD, LLC is a Pulmonary Diagnostics Registered Respiratory Therapist in Dyersburg, Tennessee. Licensed in Tennessee. Registered with an NPI since 2011.

Licensed in
TN
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2148 Aztec Dr
Dyersburg, TN 38024-1841
Phone: (731) 589-6156
Fax: (615) 467-8971
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Diagnostics Registered Respiratory Therapist (primary) Taxonomy 2279P1004X · Licence RRT0000000395 (TN)

Record details

NPI number1326346412
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phillip Tidwell — Registered Respiratory Therapist · (731) 589-6156
NPI enumeratedMarch 14, 2011
Last updated in NPPESJune 12, 2013
Mailing address2148 Aztec Dr, Dyersburg, TN 38024-1841

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