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

JONATHAN NICHOLAS RICHARDSON, OTR/L

Active

JONATHAN NICHOLAS RICHARDSON, OTR/L is a Gerontology Occupational Therapist healthcare provider located in HUMBOLDT, Tennessee. NPI 1720810104 is currently active in the NPPES registry. Verify at CMS.

Gerontology Occupational Therapist · HUMBOLDT, TN

Registration Details

NPI Number
1720810104
Provider Type
Individual
Gender
Male
NPI Issued
Aug 15, 2024 (2.0327047802608 yrs)
Last Updated
Aug 15, 2024
License
8092 (TN)

Practice Information

Address
2865 E MAIN ST
HUMBOLDT, TN, 383433070
Browse TN providers · Browse ZIP 38343
Phone
7317848405
Primary Specialty
Gerontology Occupational Therapist
225XG0600X
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.