ANTOINE CHARLES RICHARDSON NPI 1467063164

NPI Information

NPI: 1467063164
Provider Name: ANTOINE CHARLES RICHARDSON
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
1900 GLENDON AVE APT 102
LOS ANGELES, CA
ZIP 90025
Phone: (310) 906-5112
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Antoine Charles Richardson is a massage therapist in Los Angeles, CA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Antoine Charles Richardson NPI is 1467063164. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1900 GLENDON AVE APT 102
LOS ANGELES, CA
ZIP 90025-627
Phone: (310) 906-5112

The enumeration date for this NPI number is 8/14/2020 and was last updated on 8/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		57181	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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