# MI PHYSICAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194113993
- **Authorized official:** DR. CHRISTINA A RICHARDSON DO (OWNER)
- **Authorized official phone:** (231) 943-1454

## Contact information

- **Practice address:** 3865 W FRONT ST, SUITE 5, TRAVERSE CITY, MI 49684-8101
- **Practice address phone:** (231) 943-1454
- **Mailing address:** 3865 W FRONT ST, SUITE 5, TRAVERSE CITY, MI 49684-8101
- **Mailing address phone:** (231) 943-1454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 5101013386 | MI | Yes |

## Other

- **Enumeration date:** 12/31/2014
- **Last updated:** 02/27/2015