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Randy R Richter

Physical Therapist in Saint Louis, MO. Individual provider (NPI-1).

NPI number1578771663
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1578771663
Entity type
Individual (NPI-1)
Name
Randy R Richter
Sex
Male
Sole proprietor
No
Enumeration date
May 20, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist01095MOYes

Practice location

3437 Caroline St
Saint Louis, MO 63104-1111

Phone 314-977-8545

Mailing address

411 Lindenwood Dr
Troy, IL 62294-1065

Phone 618-667-2994

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