Individual
SYDNEY REES RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22515 SAINT ROSE RD, HIGHLAND, IL 62249-5011
(618) 791-0698
Mailing address
901 S NATIONAL AVE, SPRINGFIELD, MO 65897-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2022029649
MO
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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