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

Mr. Thomas Jerrod Ricketson, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1831328152

Mr. Thomas Jerrod Ricketson, IDMT is an Independent Duty Medical Technicians in Fairchild Air Force Base, Washington. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

2504 S Chicago St
Fairchild Air Force Base, WA 99011-8548
Phone: (509) 247-5414
Fax: (509) 247-3543
Show map & directions

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

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1831328152
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedJuly 8, 2009
Last updated in NPPESJuly 8, 2009

Other providers in Fairchild Air Force Base