Individual
TAYLOR RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 POPLAR ST, CATASAUQUA, PA 18032-1334
(610) 972-1378
Mailing address
311 POPLAR ST, CATASAUQUA, PA 18032-1334
(610) 972-1378
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255A2300X
2255A2300X - SPECIALIST/TECHNOLOGIST - ATHLETIC TRAINER
—
01
—
390200000X
390200000X STUDENT IN AN ORGANIZED HEALTH CARE EDUCATION/TRAINING PROGRAM
—
Enumeration date
02/07/2023
Last updated
06/28/2023
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