Richlyn Laramie Frakes, DPT
Individual provider Active NPI Physical Therapist · Golden, IL
NPI 1497076210 · NPPES record last updated Jun 30, 2010
Key facts
- NPI
- 1497076210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1197907 (TX)
- Practice address
- 2328 Highway 94
Golden, IL 62339-2002 - Phone
- (217) 430-9871
- NPI assigned
- Jun 15, 2010
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1197907 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1197907 | TX | Yes |
Addresses
Primary practice location
2328 Highway 94
Golden, IL 62339-2002
Mailing address
2328 Highway 94
Golden, IL 62339-2002
Phone (217) 430-9871
Other providers in Golden, IL
- Blessing Hospital
- Caremark Rehab, LTD.
- Carrie R. Cook
- Denman Country Drug
- Golden Good Shepherd Home
- Amy Graves
- Holly Jo Henderson
- Tracy Lynn Kurfman
- Mark D Leverenz
All providers in Golden, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.