Provider Demographics
NPI:1780380964
Name:RICHARDSON, RASHAD QUINT'E SR (DOCTOR OF SPORTS MED)
Entity type:Individual
Prefix:DR
First Name:RASHAD
Middle Name:QUINT'E
Last Name:RICHARDSON
Suffix:SR
Gender:M
Credentials:DOCTOR OF SPORTS MED
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Mailing Address - Street 1:220 KINVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ARCHDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27263-3130
Mailing Address - Country:US
Mailing Address - Phone:336-740-1668
Mailing Address - Fax:
Practice Address - Street 1:10418 N MAIN ST STE K
Practice Address - Street 2:
Practice Address - City:ARCHDALE
Practice Address - State:NC
Practice Address - Zip Code:27263-3282
Practice Address - Country:US
Practice Address - Phone:336-740-1668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach