IndividualActive
Jason Richards, OT
NPI 1003163379 · Occupational Therapist · Normal, IL
Provider details
- NPI number
- 1003163379
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Male
- Sole proprietor
- No
- License
- 056.007160 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2200 Fort Jesse Rd
Normal, IL 61761-6286
Phone: (309) 888-9800
Fax: (866) 888-9198
Approximate (ZIP-level) locationGet directions
Mailing address
2200 Fort Jesse Rd
Normal, IL 61761-6286
Registry dates
- Enumerated
- 2012-08-06
- Last updated
- 2012-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.