Provider Demographics
NPI:1265125165
Name:GRIFFITH, RICHARD LANDON (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LANDON
Last Name:GRIFFITH
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 KROGER CTR
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD
Mailing Address - State:KY
Mailing Address - Zip Code:40351-8894
Mailing Address - Country:US
Mailing Address - Phone:606-393-0304
Mailing Address - Fax:606-393-0304
Practice Address - Street 1:272 KROGER CTR
Practice Address - Street 2:
Practice Address - City:MOREHEAD
Practice Address - State:KY
Practice Address - Zip Code:40351-8894
Practice Address - Country:US
Practice Address - Phone:606-393-0304
Practice Address - Fax:606-393-0304
Is Sole Proprietor?:No
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY008773225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist