NPI 1164067146

Deborah Richardson

Practitioner Massage Therapist Fairfax, VA

Practice location

Address: 4207 San Juan Dr, Fairfax, VA 22030-5375
Phone: (703) 855-4293
Mailing address: 5204 Morris Ave APT 203, Suitland, MD 20746-3908

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 0019016159 (VA)

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Registry record

NPI: 1164067146
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Nov 2019
Record last updated: 13 Nov 2019

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.