NPI 1407276629
Richard David Ricks, PTA
Practice location
- Address
- 36261 Okefenokee Dr, Folkston, GA 31537-7853
- Phone
- (912) 496-7396
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1407276629
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 Apr 2014
- Record last updated
- 27 Apr 2014
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.