Individual
ALICIA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3101 MAIN ST, KANSAS CITY, MO 64111-1921
(816) 841-2284
(816) 753-7836
Mailing address
3101 MAIN ST, KANSAS CITY, MO 64111-1921
(816) 841-2284
(816) 753-7836
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03435
KS
225100000X
Physical Therapist
2004021781
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200301370A
—
KS
05
—
488404005
—
MO
Enumeration date
01/24/2007
Last updated
08/28/2023
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