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Contact Information

CHRIS D RICHARDSON, PTA
#6 CTY RD 5149
BLOOMFIELD, NM87413
 Phone: 505-215-6614
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for CHRIS D RICHARDSON · (Male)

NPI Number 1972838266
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 10/05/2009
Last updated 10/05/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NM License # A-0554
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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