Individual provider · Type 1 NPI

Deborah Richardson

Massage Therapist · Fairfax, VA

NPI number 1164067146 Active

Practice location

4207 San Juan Dr
Fairfax, VA 22030-5375

Call (703) 855-4293 Map

Mailing address

5204 Morris Ave Apt 203
Suitland, MD 20746-3908

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0019016159 (VA)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1164067146

Deborah Richardson's National Provider Identifier is 1164067146, issued on Nov 13, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fairfax, VA. The record was last updated on Nov 13, 2019.