Provider Demographics
NPI:1669517694
Name:PATTERSON, RICHARD DONALD JR (MS, ATC)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:DONALD
Last Name:PATTERSON
Suffix:JR
Gender:M
Credentials:MS, ATC
Other - Prefix:
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Mailing Address - Street 1:K35 FOREST HTS
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-3915
Mailing Address - Country:US
Mailing Address - Phone:724-285-6462
Mailing Address - Fax:
Practice Address - Street 1:010 MORROW FIELD HOUSE
Practice Address - Street 2:SLIPPERY ROCK UNIVERSITY
Practice Address - City:SLIPPERY ROCK
Practice Address - State:PA
Practice Address - Zip Code:16001
Practice Address - Country:US
Practice Address - Phone:724-738-2152
Practice Address - Fax:724-738-4871
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PART0032882255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer