Individual
KRISTI RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 LAKEOVER PL, TERRY, MS 39170-4407
(601) 906-7739
Mailing address
316 LAKEOVER PL, TERRY, MS 39170-4407
(601) 906-7739
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5572
MS
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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