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NPI Code Detail

MEDICARE: CATHY LEE RICHARDSON P.T.

MEDICARE:   CATHY LEE RICHARDSON  P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1851TN

General Provider Information

NPI Number : 1336380096
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHY LEE RICHARDSON P.T.
Provider Business Mailing Address
First Line : 756 RIDGE LAKE BLVD
Second Line : SUITE 205
City : MEMPHIS
State : TN
Zip : 38120-9420
Country : US
Telephone Number : 901-767-3667
Fax Number : 901-767-3669
Provider Business Practice Location Address
First Line : 756 RIDGE LAKE BLVD
Second Line : SUITE 205
City : MEMPHIS
State : TN
Zip : 38120-9420
Country : US
Telephone Number : 901-767-3667
Fax Number : 901-767-3669
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2009
Last Update Date : 03/10/2009

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Directions to “ CATHY LEE RICHARDSON P.T.” Practice Location

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