Individual
JARED KELLER RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
651 MAIN ST STE 119, GARDENDALE, AL 35071-2790
(205) 608-3113
(205) 588-4158
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH9931
AL
Other
Enumeration date
08/06/2020
Last updated
06/21/2024
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