Individual
JODI RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
6810 POPPY HILLS LN, SUITE 936, CHARLOTTE, NC 28226-6554
(509) 315-5561
(509) 315-8354
Mailing address
6810 POPPY HILLS LN, SUITE 936, CHARLOTTE, NC 28226-6554
(509) 315-5561
(509) 315-8354
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5562
NC
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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