Brandi Jean Richard, LAT, ATC
NPI #1285198010 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1285198010
- Entity Type
- Individual
- Name
- Brandi Jean Richard, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- Jan 25, 2019
- Last Updated
- Nov 16, 2024
Practice Location
- Address
- 790 REMINGTON BLVD
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60440-4909
- Phone
- (630) 551-6704
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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