IndividualActive
Brandon Richard, PT, DPT, CSCS, KTCC
NPI 1700650207 · Physical Therapist · Zachary, LA
Provider details
- NPI number
- 1700650207
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT, CSCS, KTCC
- Sex
- Male
- Sole proprietor
- No
- License
- 1400726 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
6300 Main St
Zachary, LA 70791-4037
Phone: (225) 658-6800
Approximate (ZIP-level) locationGet directions
Mailing address
6300 Main St
Zachary, LA 70791-4037
Registry dates
- Enumerated
- 2023-11-14
- Last updated
- 2025-11-11
- Certified
- 2025-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.