Individual
KALEB RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, CPT
Contact information
Practice address
204 E 8TH ST, MALVERN, IA 51551-4062
(712) 520-4988
Mailing address
204 E 8TH ST, MALVERN, IA 51551-4062
(712) 520-4988
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
078589
IA
Other
Enumeration date
07/26/2015
Last updated
07/26/2015
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