MR. Kenneth W. Richards, LICENSE MASSAGE THER

NPI #1073994505 in Farmington, Maine

Provider Information

NPI Number: 1073994505
Entity Type: Individual
Name: MR. Kenneth W. Richards, LICENSE MASSAGE THER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LICENSE MASSAGE THER
Enumeration Date: Jun 10, 2015
Last Updated: Jun 10, 2015

Practice Location

Address: 236 BROADWAY
City: Farmington
State: Maine
ZIP Code: 04938-0236
Phone: (207) 778-4990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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