Individual
MR. GLEN ADAM RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
320 LORETTO RD, SPRING VIEW REHABILITATION SERVICES, LEBANON, KY 40033-1300
(270) 692-5130
Mailing address
320 LORETTO RD, SPRING VIEW REHABILITATION SERVICES, LEBANON, KY 40033-1300
(270) 692-5130
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT501
KY
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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