Individual
MISS EMILY KAY RIDEOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
10217 CORREE COVE DR, EMERALD ISLE, NC 28594-2133
(910) 545-2076
Mailing address
10217 CORREE COVE DR, EMERALD ISLE, NC 28594-2133
(910) 545-2076
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000028725
NC
Other
Enumeration date
06/07/2017
Last updated
07/21/2022
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