Individual
DR. ANDREA KELLIE HENNIG RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5770 S 250 E, MURRAY, UT 84107-8100
(801) 314-5200
Mailing address
185 U ST, SALT LAKE CITY, UT 84103-4307
(928) 581-5750
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12839031-2401
UT
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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