Individual
COURTNEY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2318 SAN JACINTO BLVD STE 108, DENTON, TX 76205-7535
(940) 380-9111
Mailing address
2318 SAN JACINTO BLVD STE 108, DENTON, TX 76205-7535
(940) 380-9111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5357
TX
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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