National Provider Identifier

Countess-Jai Richards

Countess-Jai Richards is listed in the NPPES registry with a primary specialty of Physical Therapist in Lewiston, NY and a listed phone number of (716) 298-2900.

NPI 1144789728Lewiston, NYPhysical Therapist

Profile Overview

NPI
1144789728
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
March 13, 2019
Last Updated
March 13, 2019

Practice Location

  • 5285 Lewiston RD
  • Lewiston, NY 14092-1942

Phone: (716) 298-2900

Mailing Address

  • 67 Edgebrook Est Apt 10
  • Cheektowaga, NY 14227-2005

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1144789728
Entity Type
Individual
Last Name
Richards
First Name
Countess-Jai
Mailing Street Address
67 Edgebrook Est Apt 10
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14227-2005
Mailing Country
US
Mailing Phone
(718) 249-9843
Practice Street Address
5285 Lewiston RD
Practice City
Lewiston
Practice State
NY
Practice ZIP Code
14092-1942
Practice Country
US
Practice Phone
(716) 298-2900
Enumeration Date
March 13, 2019
Last Updated
March 13, 2019
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)