Individual
MR. KENNETH W. RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSE MASSAGE THER
Contact information
Practice address
236 BROADWAY, FARMINGTON, ME 04938-0236
(207) 778-4990
Mailing address
236 BROADWAY, FARMINGTON, ME 04938-0236
(207) 778-4990
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT54
ME
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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