Individual
SARA KATHERINE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8499 EVERGREEN AVE, INDIANAPOLIS, IN 46240-2335
(317) 495-5597
Mailing address
7541 CHATTERTON DR, INDIANAPOLIS, IN 46254-9680
(765) 506-3652
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001827A
IN
Other
Enumeration date
08/13/2014
Last updated
10/17/2019
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