Provider Demographics
NPI:1871399352
Name:RICHARDS, KATIEPAIGE (HTMAP)
Entity type:Individual
Prefix:
First Name:KATIEPAIGE
Middle Name:
Last Name:RICHARDS
Suffix:
Gender:
Credentials:HTMAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 DAVIS BLVD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-4211
Mailing Address - Country:US
Mailing Address - Phone:239-919-4323
Mailing Address - Fax:
Practice Address - Street 1:2240 DAVIS BLVD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-4211
Practice Address - Country:US
Practice Address - Phone:239-919-4323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach