Individual
DR. REGINALD RYLAND RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DAT, LAT, ATC
Contact information
Practice address
259 DENBIGH BLVD, NEWPORT NEWS, VA 23608-3313
(757) 886-7700
Mailing address
214 JAKES LN, NEWPORT NEWS, VA 23608-1293
(757) 310-2495
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002784
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000028656
BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER
—
Enumeration date
07/25/2018
Last updated
08/15/2023
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