Individual
BRANDON K RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4765 S DURANGO DR, 106, LAS VEGAS, NV 89147-8145
(702) 898-7633
(702) 898-6433
Mailing address
904 WHITE AVE, MOSCOW, ID 83843-3932
(208) 882-1426
(208) 882-1428
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7620
ID
225100000X
Physical Therapist
—
NV
Other
Enumeration date
05/17/2011
Last updated
08/25/2021
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