Individual
BRAEDEN JAMES RIDEOUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
222 REPUBLIC DR, ALLEN PARK, MI 48101-3650
(970) 999-2775
Mailing address
222 REPUBLIC DR, ALLEN PARK, MI 48101-3650
(970) 999-2775
(970) 999-2775
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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