Individual
JKYRA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43 AUTUMN ST, BRIDGEPORT, CT 06608-1117
(203) 526-2762
Mailing address
43 AUTUMN ST, BRIDGEPORT, CT 06608-1117
(203) 526-2762
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10298
CT
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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