Provider Demographics
NPI:1316244320
Name:CALDWELL, RICHARD FRANK
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:FRANK
Last Name:CALDWELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2452 DAKS LODEN CT
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89044-8767
Mailing Address - Country:US
Mailing Address - Phone:702-557-5399
Mailing Address - Fax:
Practice Address - Street 1:2452 DAKS LODEN CT
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89044-8767
Practice Address - Country:US
Practice Address - Phone:702-557-5399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner