Provider Demographics
NPI:1891986766
Name:MARSHALL, RICHARD K (MS DC DACBN CCN)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:K
Last Name:MARSHALL
Suffix:
Gender:M
Credentials:MS DC DACBN CCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 OLD THIRTY PLAZA
Mailing Address - Street 2:SUITE #3
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-9596
Mailing Address - Country:US
Mailing Address - Phone:724-850-7550
Mailing Address - Fax:
Practice Address - Street 1:161 OLD 30 PLAZA
Practice Address - Street 2:SUITE#3
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-9596
Practice Address - Country:US
Practice Address - Phone:724-850-7550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA4240111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition