Whalio Doctors

NPI 1023133691

Jay J Richard, PT

Practitioner Physical Therapist Bettendorf, IA

Practice location

Address
2300 53rd Ave Suite Ll02, Bettendorf, IA 52722-7547
Phone
(563) 332-4422
Fax
(563) 332-0391
Mailing address
205 W Wacker Dr Suite 1020, Chicago, IL 60606-1216

Registered specialties

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 02064 (IA)

Registry record

NPI
1023133691
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Mar 2007
Record last updated
26 Nov 2008

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.