Alexis Richardson
Student in an Organized Health Care Education/Training Program in Columbus, OH. Individual provider (NPI-1).
NPI number1083173371
StatusActive
Last updated in NPPESMar 15, 2019
Details
- NPI
- 1083173371
- Entity type
- Individual (NPI-1)
- Name
- Alexis Richardson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 15, 2019
- Last updated
- Mar 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
2125 N High StColumbus, OH 43210-1127
Phone 301-789-6557
Mailing address
13003 Woodmore North BlvdBowie, MD 20720-4773
Other practice locations
13003 Woodmore North Blvd
Bowie, MD 20720-4773
Bowie, MD 20720-4773
Phone 301-789-6557
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