Individual
MR. ZACHERY THOMAS RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, SCAT, ATC
Contact information
Practice address
600 LYDIA DR, PELION, SC 29123-9812
(803) 821-2258
Mailing address
1051 SOUTHERN DR UNIT 3113, COLUMBIA, SC 29201-5631
(413) 652-9746
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
SC
Other
Enumeration date
07/17/2015
Last updated
09/20/2021
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