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General NPI Number Information
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NPI Number | 1356858120
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Entity Type | Organization
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Legal Business Name | RICHARDS PHYSICAL THERAPY
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Dates
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Enumeration Date | 01/03/2018
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 1955 W GROVE PKWY STE 201
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-6731
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Country | US
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Telephone | 385-498-4582
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Fax | 385-350-3454
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Provider Business Mailing Address
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Address Line | 1955 W GROVE PKWY STE 201
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-6731
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Country | US
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Telephone | 385-498-4582
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Fax | 385-350-3454
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Authorized Official
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Title or Position | OWNER
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Name | PHILIP RICHARDS
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Credential | PT, DPT
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Telephone | 385-498-4582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 8281445-2401
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License Number State | UT
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