Richardson, Devan

Richardson, Devan is an individual health care provider with primary practice located at 2633 Traceland Dr , Tupelo MS 38801-4238. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Richardson, Devan can be contacted via phone (662) 554-9699.

Contact Information

Primary practice address
2633 Traceland Dr Tupelo MS 38801-4238
Phone: (662) 554-9699
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT6740 Mississippi

Profile Details

NPI number 1174165500
LBN Legal business name Richardson, Devan
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2019
Last updated Oct 17th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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