Individual
KENDRA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
4541 S DALE MABRY HWY STE 200, TAMPA, FL 33611-1407
(813) 684-2663
Mailing address
4541 S DALE MABRY HWY STE 200, TAMPA, FL 33611-1407
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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