Jkyra Richardson
Massage Therapist in Bridgeport, CT. Individual provider (NPI-1).
NPI number1487220570
StatusActive
Last updated in NPPESMay 31, 2021
Details
- NPI
- 1487220570
- Entity type
- Individual (NPI-1)
- Name
- Jkyra Richardson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 31, 2021
- Certification date
- May 31, 2021
- Last updated
- May 31, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 10298 | CT | Yes |
Practice location
43 Autumn StBridgeport, CT 06608-1117
Phone 203-526-2762
Mailing address
43 Autumn StBridgeport, CT 06608-1117
Phone 203-526-2762
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All 8 Massage Therapist providers in Bridgeport · All 3,629 providers in Bridgeport
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