Provider Demographics
NPI:1518139666
Name:WRIGHT, RICHARD ARNOLD (DC, LAC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ARNOLD
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2780 TAPO CANYON RD
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-6840
Mailing Address - Country:US
Mailing Address - Phone:805-520-2929
Mailing Address - Fax:805-520-2948
Practice Address - Street 1:77 WEST ST STE A
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:MA
Practice Address - Zip Code:02048-2403
Practice Address - Country:US
Practice Address - Phone:805-520-2929
Practice Address - Fax:805-520-2948
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-28
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3724111N00000X
CAAC 12039171100000X
MA286658171100000X
CADC 30701111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist