Individual
MR. CLIFFORD JOHN RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
23870 SE KENT KANGLEY RD, MAPLE VALLEY, WA 98038-6848
(425) 432-1671
(425) 432-1677
Mailing address
23870 SE KENT KANGLEY RD, MAPLE VALLEY, WA 98038-6848
(425) 432-1671
(425) 432-1677
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005147
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0165RI
REGENCE
WA
01
—
0191071
LABOR & INDUSTRIES
WA
01
—
5147
WA STATE
WA
01
—
609471200
OWCP DEPT. OF LABOR
WA
01
—
P00279139
RAILROAD MEDICARE
—
Enumeration date
08/09/2006
Last updated
12/20/2007
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