Individual
DR. ASHLEE JO RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
300 PERSHING AVE, SHENANDOAH, IA 51601-2355
(712) 246-7000
Mailing address
4358 PACIFIC ST., OMAHA, NE 68105
(402) 290-8765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
083064
IA
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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