Individual
TORI RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13151 MAGISTERIAL DR STE 200, LOUISVILLE, KY 40223-4103
(502) 587-1236
Mailing address
6210 COOKIE DR, CHARLESTOWN, IN 47111-7731
(707) 474-2786
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003198A
KY
2255A2300X
Athletic Trainer
AT1947
IN
Other
Enumeration date
01/18/2018
Last updated
12/04/2023
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