Individual
CHASE STUART RICHINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4800 MEMORIAL DR BLDG 11, WACO, TX 76711-1329
(208) 709-8775
Mailing address
208 E JADE DR, HEWITT, TX 76643-3175
(208) 709-8775
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11893242-2401
UT
Other
Enumeration date
10/10/2020
Last updated
10/10/2020
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