| Doctor Name: | DR. LEON ANTHONY RICHARD |
| NPI Number: | 1255649976 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT, OCS, MSPT |
| License Number: | PT2377 |
| Business Practice Address: | 100 Trading Bay Rd Suite 8 Kenai, AK - 996117786 |
| Business Phone Number: | 9073352490 |
| Business Fax Number: | 9073351956 |
| Mailing Address: | 100 Trading Bay Rd, Suite 8 KENAI |
| State: | AK |
| Postal Code: | 996117786 |
| Phone Number: | 9073352490 |
| Fax Number: | 9073351956 |
| NPI Enumeration Date: | 09/15/2010 |
| NPI Last Update Date: | 11/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT2377 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |