KELLY RICHARDS

BLOOMINGTON, IL
NPI1649529009
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.013855)
Enumeration Date2012-08-31
Last Update Date2012-08-31
Business Address
Mrs. KELLY RICHARDS PT
2200 E. WASHINGTON ST.
BLOOMINGTON, IL 61701
Phone number: 309-661-6260
Mailing Address
Mrs. KELLY RICHARDS PT
1407 GODFREY DRIVE
NORMAL, IL 61761
Phone number: 309-826-1771