Individual
SHEENA RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N8218 STATE ROAD 28, MAYVILLE, WI 53050-2126
(906) 280-6197
Mailing address
103 S PIONEER RD STE 100, FOND DU LAC, WI 54935-3800
(920) 922-7776
(920) 922-2938
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1973-19
WI
Other
Enumeration date
01/15/2013
Last updated
06/08/2021
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