Healthcare Provider Details

I. General information

NPI: 1467450437
Provider Name (Legal Business Name): RICHFIELD WELLNESS AND REHAB, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 W MAIN ST
SALEM VA
24153-2072
US

IV. Provider business mailing address

3737 W MAIN ST
SALEM VA
24153-2072
US

V. Phone/Fax

Practice location:
  • Phone: 540-380-2770
  • Fax: 540-380-2802
Mailing address:
  • Phone: 540-380-2770
  • Fax: 540-380-2802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DOUGLAS R WRIGHT
Title or Position: CEO
Credential:
Phone: 540-380-6526