SearchIllinoisPhysical Therapy Assistant

Nathan Richardson, PTA

NPI 1457019986 · on the registry since 2021 · sole proprietor

Practice

Address
400 S Station Rd
Glen Carbon, IL 62034
Phone
(618) 288-5014
Organisation at this address
Eden Retirement Center, Inc.
Illinois Associates In Psychiatry Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois