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Andrew George Richardson, PT, DPT

Physical Therapist in Twin Falls, ID. Individual provider (NPI-1).

NPI number1164071072
StatusActive
Last updated in NPPESMay 28, 2025

Details

NPI
1164071072
Entity type
Individual (NPI-1)
Name
Andrew George Richardson
Credential
PT, DPT
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 4, 2019
Certification date
May 28, 2025
Last updated
May 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist5171067IDYes

Practice location

421 Washington St N
Twin Falls, ID 83301-4633

Phone 208-735-9011

Mailing address

1053 Eastland Dr
Twin Falls, ID 83301-6747

Phone 208-736-9011

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