Individual
NOAH TIMOTHY TYLER RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1734 PROSPECT DRIVE, PALMER, AK 99645
(907) 745-2222
(907) 746-7471
Mailing address
1150 S COLONY WAY STE 3, PALMER, AK 99645-6972
(907) 745-2222
(907) 746-7471
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
168352
AK
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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