Individual
ROBERT TODD RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
3600 LAS VEGAS BLVD S, LAS VEGAS, NV 89109-4303
(702) 693-7752
Mailing address
1838 THUNDER MOUNTAIN DR, HENDERSON, NV 89012-3424
(702) 361-8311
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506105
NV
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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