Russell H Richey, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

12794 Issued in CA

Practice address

10207 High Noon Dr
San Antonio, TX 78254-1956

Phone

(214) 730-1271

NPI assigned

Jul 19, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1124691167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10207 HIGH NOON DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782541956",
            "telephone_number": "214-730-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10207 HIGH NOON DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782541956",
            "telephone_number": "214-730-1271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3114 Sneed St Apt 407",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752040914",
            "country_code": "US",
            "telephone_number": "214-730-1271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHEY",
        "first_name": "RUSSELL",
        "middle_name": "H",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "16037",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "110098",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "12794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valarie Lynn Richardson
• Wesley Richardson, PHD, RN
• William J Richardson, PT, DPT, OCS
• Yvette Michele Richardson, NP
• Sydney Richetto
• Richfield National Inc (Sonterra Medical Response)
• David Michael Richie, PHD
• Jeneva M Richie, LVN
• Josefina M Richie
• Rachel Richie

• Massage Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.