Individual
ANTHONY RAYMOND RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, AT, ATC
Contact information
Practice address
17493 N FRUITPORT RD, SPRING LAKE, MI 49456-2508
(616) 450-6592
Mailing address
17493 N FRUITPORT RD, SPRING LAKE, MI 49456-2508
(616) 450-6592
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001307
MI
Other
Enumeration date
08/20/2016
Last updated
08/20/2016
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