Provider Demographics
NPI:1760511836
Name:RICHARDS, KASIE ANN (MS, ATC, LAT, CSCS,)
Entity Type:Individual
Prefix:
First Name:KASIE
Middle Name:ANN
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:MS, ATC, LAT, CSCS,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 PATTON AVE
Mailing Address - Street 2:APT 201
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-3034
Mailing Address - Country:US
Mailing Address - Phone:828-273-7041
Mailing Address - Fax:
Practice Address - Street 1:100 ATHLETIC ST
Practice Address - Street 2:MARS HILL COLLEGE
Practice Address - City:MARS HILL
Practice Address - State:NC
Practice Address - Zip Code:28754-9134
Practice Address - Country:US
Practice Address - Phone:828-273-7041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC05962255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer