Provider Demographics
NPI:1881451987
Name:RICHEY, HANNAH JANE (LMT)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:JANE
Last Name:RICHEY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 S CROSS LAKES CIR APT J
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46012-4940
Mailing Address - Country:US
Mailing Address - Phone:574-933-3531
Mailing Address - Fax:
Practice Address - Street 1:1902 E 53RD ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46013-2939
Practice Address - Country:US
Practice Address - Phone:765-757-1911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INMT22107334225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist