NATHAN RYAN RICHARDSON

INDEPENDENCE, MO
NPI1972014066
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MO  2017022264)
Enumeration Date2017-10-17
Last Update Date2017-10-17
Business Address
NATHAN RYAN RICHARDSON
3980 E JACKSON DR
INDEPENDENCE, MO 64057-2205
Phone number: 816-195-1433
Mailing Address
NATHAN RYAN RICHARDSON
508 17TH AVE S
GREENWOOD, MO 64034-9701
Phone number: