Individual
TERRYL J RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5216 72ND ST E, TACOMA, WA 98443-2722
(253) 537-8181
(253) 537-8181
Mailing address
PO BOX 146, PUYALLUP, WA 98371-0015
(253) 537-8181
(253) 537-8181
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001528
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17087
DEPT. OF LABOR AND INDUST
WA
01
—
350000483
RAILROAD MEDICARE
WA
01
—
606549100
DEPT OF LABOR - OWCP
WA
01
—
R13361
PRIVATE INSURANCE
WA
Enumeration date
08/02/2006
Last updated
06/30/2008
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