Basic Information
| Provider Information | |||||||||
| NPI: | 1831158112 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RICHARDSON | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | JASON | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1420 FALLEN BEETREE RD | ||||||||
| Address2: | |||||||||
| City: | KINGSTON SPRINGS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370825158 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6159525751 | ||||||||
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| Practice Location | |||||||||
| Address1: | 210 25TH AVE N | ||||||||
| Address2: | SUITE 520 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372031606 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153213215 | ||||||||
| FaxNumber: | 6153213216 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/23/2006 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 6126 | TN | X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 2251E1200X | 6126 | TN | X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Ergonomics | 2251S0007X | 6126 | TN | X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Sports | 2251X0800X | 6126 | TN | X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic |
No ID Information.