Jkyra Richardson Valid NPI
Individual provider · Massage Therapist · Bridgeport, CT
- NPI
- 1487220570
- Type
- Individual (Type 1)
- Primary specialty
- Massage Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225700000X
- License number
- 10298 (CT)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2021-05-31
- Last updated
- 2021-05-31
Practice location
43 Autumn St
Bridgeport, CT 06608-1117
(203) 526-2762