Individual
RACHEL LAUREN RIDENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-5486
Mailing address
20 6TH ST NW, APT 126, OSSEO, MN 55369-1189
(405) 880-0696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1232721
TX
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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