Provider Demographics
NPI:1043487853
Name:RICHTER, THOMAS C (PT)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:C
Last Name:RICHTER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6942 COUNTRY VIEW LN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-2707
Mailing Address - Country:US
Mailing Address - Phone:210-690-4075
Mailing Address - Fax:
Practice Address - Street 1:6942 COUNTRY VIEW LN
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-2707
Practice Address - Country:US
Practice Address - Phone:210-690-4075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1046258225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist