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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CRAIG HARDEN RICHARDSON, LAT, ATC

Active Sole Proprietor

CRAIG HARDEN RICHARDSON, LAT, ATC is a Athletic Trainer healthcare provider located in SODA SPRINGS, Idaho. NPI 1609245612 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · SODA SPRINGS, ID

Registration Details

NPI Number
1609245612
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2015 (10.859076552615 yrs)
Last Updated
Mar 11, 2020
Sole Proprietor
Yes

Practice Information

Address
366 N 2ND E
SODA SPRINGS, ID, 832761218
Browse ID providers · Browse ZIP 83276
Phone
4355355381
Primary Specialty
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.