IndividualActive
Chelsea Richardson
NPI 1992114482 · Athletic Trainer · Moscow, ID
Provider details
- NPI number
- 1992114482
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- AT-629 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
875 Perimeter Dr
Moscow, ID 83844-8660
Phone: (208) 885-0225
Approximate (ZIP-level) locationGet directions
Mailing address
11062 Oak Spur Ct Apt H
Saint Louis, MO 63146-1975
Additional practice locations (1)
- 1 College Park DrSaint Louis, MO 63141-8660Phone: (314) 485-8415
Registry dates
- Enumerated
- 2014-08-08
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.