Craig Harden Richardson, LAT, ATC
NPI #1609245612 in Soda Springs, Idaho
Provider Information
- NPI Number
- 1609245612
- Entity Type
- Individual
- Name
- Craig Harden Richardson, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- Sep 20, 2015
- Last Updated
- Mar 11, 2020
Practice Location
- Address
- 366 N 2ND E
- City
- Soda Springs
- State
- Idaho
- ZIP Code
- 83276-1218
- Phone
- (435) 535-5381
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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