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Individual

DANIEL N RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
105 ROBINS WAY, SUITE 201B, RUSSELLVILLE, KY 42276-1129
(270) 726-6640
(270) 726-6674
Mailing address
825 EDGEFIELD WAY, BOWLING GREEN, KY 42104-4214
(615) 336-4989

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006235
KY

Other

Enumeration date
06/17/2013
Last updated
06/17/2013
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