Joseph Ryan Richard, ATC
Individual provider Active NPI Athletic Trainer · Leicester, MA
NPI 1962862896 · NPPES record last updated Mar 4, 2016
Key facts
- NPI
- 1962862896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 964 Main St
Leicester, MA 01524-1310 - Phone
- (774) 354-0490
- NPI assigned
- Mar 4, 2016
- Sex
- Male
- Sole proprietor
- No
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
964 Main St
Leicester, MA 01524-1310
Mailing address
964 Main St
Leicester, MA 01524-1310
Phone (774) 354-0490
Other providers in Leicester, MA
- Helen Lien Nguyen
- Isabella Ortiz
- Kaitlyn Rose Pajer
- Stephen Gerard Poirier
- Yolanda Ramos
- Tracey Rocha Phelon
- Lisa Lombardini Shenette
- Skilled Homecare Services
- Kathleen Soden
- The Monarch Clinic, LLC
All providers in Leicester, MA · Athletic Trainer in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2016. 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.