IndividualActive
Bennett Richter, MS, LAT, ATC
NPI 1487334249 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Carmi, IL
Provider details
- NPI number
- 1487334249
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MS, LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 096.005655 (IL)
Mailing address
914 County Road 1500 E
Carmi, IL 62821-5610
Registry dates
- Enumerated
- 2023-07-18
- Last updated
- 2023-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.