Kelly Richards, PTA

NPI #1174849772 in Holland, Ohio

Provider Information

NPI Number: 1174849772
Entity Type: Individual
Name: Kelly Richards, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 8, 2010
Last Updated: Jun 12, 2014

Practice Location

Address: 1058 CLARK ST
Address 2: D-1
City: Holland
State: Ohio
ZIP Code: 43528-7949
Phone: (419) 868-7378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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