Individual
KERIANNE MARIE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
205 SUNNYVIEW LN, KALISPELL, MT 59901-3120
(406) 925-0968
Mailing address
92 VISTA LOOP, KALISPELL, MT 59901-2542
(406) 925-0968
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-LAT-LIC-1524
MT
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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