Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Lee Richardson

Individual provider Athletic Trainer · NPI 1407455959

Mary Lee Richardson is an Athletic Trainer in Mableton, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2020
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Practice location Address checks out

1591 Glenn Pl SW
Mableton, GA 30126-1170
Phone: (216) 702-7316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (GA)

Record details

NPI number1407455959
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 25, 2020
Last updated in NPPESOctober 25, 2020
Certification dateOctober 25, 2020

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