Individual
BRANDON RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS, KTCC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12199R
LA
225100000X
Physical Therapist
1400726
TX
225100000X
Physical Therapist
LPT-034054
AZ
225100000X
Physical Therapist
PT41043
FL
Other
Enumeration date
11/14/2023
Last updated
11/11/2025
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