Basic Information
| Provider Information | |||||||||
| NPI: | 1346472479 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RICHARDS | ||||||||
| FirstName: | TORREY | ||||||||
| MiddleName: | MICAH | ||||||||
| NamePrefix: | |||||||||
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| Credential: | D.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10985 N HARRELLS FERRY RD STE G | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708168362 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2252189499 | ||||||||
| FaxNumber: | 2252189431 | ||||||||
| Practice Location | |||||||||
| Address1: | 10985 N HARRELLS FERRY RD STE G | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708168362 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2252189499 | ||||||||
| FaxNumber: | 2252189431 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/24/2009 | ||||||||
| LastUpdateDate: | 08/24/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 1520 | LA | Y | Chiropractic Providers | Chiropractor |
No ID Information.