Individual
MRS. KATELYN A RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
766 N KING ST, NORTHAMPTON, MA 01060-1142
(413) 586-0230
(413) 586-1068
Mailing address
766 N KING ST, NORTHAMPTON, MA 01060-1142
(413) 785-1153
(413) 781-4951
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15150
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
468260
TUFTS
—
01
—
Y67936
BCBS
MA
01
—
Y6874601
MEDICARE PTAN
MA
Enumeration date
06/16/2006
Last updated
07/08/2015
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