Individual
KEENA TISHELLE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1140 INDIANAPOLIS RD, GREENCASTLE, IN 46135-1458
(765) 848-1421
(765) 301-4351
Mailing address
5515 W COUNTY ROAD 125 S, GREENCASTLE, IN 46135-8360
(432) 413-7386
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006462A
IN
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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