Individual
KELLI RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2840 CLARK AVE, SAINT LOUIS, MO 63103-2506
(314) 970-2466
(314) 949-2523
Mailing address
2840 CLARK AVE, SAINT LOUIS, MO 63103-2506
(314) 970-2466
(314) 949-2523
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.028221
IL
225100000X
Physical Therapist
Primary
2010021791
MO
Other
Enumeration date
07/26/2010
Last updated
08/19/2024
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