Individual
PHILLIP RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
225 N MOONLIGHT RD, GARDNER, KS 66030-1928
(913) 856-7927
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-07458
KS
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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