NPI 1003351008

Patricia Richardson, ATC

Practitioner Athletic Trainer Bolingbrook, IL

Practice location

Address: 790 Remington Blvd, Bolingbrook, IL 60440-4909
Phone: (630) 296-2222
Mailing address: 8629 Tamarack Dr, Brighton, MI 48116-5118

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2601000783 (MI)

Other Specialist/Technologist providers in Illinois →

Registry record

NPI: 1003351008
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Dec 2016
Record last updated: 29 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.