Individual
KIMBERLY RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
389 BEAMER RD, MOUNT AIRY, NC 27030-7522
(336) 466-5470
Mailing address
389 BEAMER RD, MOUNT AIRY, NC 27030-7522
(336) 466-5470
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7544
NC
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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