Provider Demographics
NPI:1427487313
Name:RICHARDS, REED R (DC)
Entity type:Individual
Prefix:
First Name:REED
Middle Name:R
Last Name:RICHARDS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 E 400 S
Mailing Address - Street 2:SUITE D
Mailing Address - City:SPRINGVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84663-2027
Mailing Address - Country:US
Mailing Address - Phone:801-655-3989
Mailing Address - Fax:
Practice Address - Street 1:655 E 400 S
Practice Address - Street 2:SUITE D
Practice Address - City:SPRINGVILLE
Practice Address - State:UT
Practice Address - Zip Code:84663-2027
Practice Address - Country:US
Practice Address - Phone:801-655-3989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-01
Last Update Date:2014-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8817809-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor