Elizabeth Richmond

Individual provider Active NPI Developmental Therapist · Markleville, IN

NPI 1447733282 · NPPES record last updated Sep 7, 2018

Key facts

NPI
1447733282
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
15 W Riley Rd
Markleville, IN 46056-9647
Phone
(765) 644-0500
Fax
(765) 378-9019
NPI assigned
Sep 7, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

15 W Riley Rd
Markleville, IN 46056-9647

Mailing address

15 W Riley Rd
Markleville, IN 46056-9647
Phone (765) 644-0500

Other providers in Markleville, IN

All providers in Markleville, IN · Developmental Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.