Individual
EMMA MARIE RIDENHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BLDG 11371B 22ND ST, FORT LEWIS, WA 98433
(208) 761-5503
Mailing address
4717 146TH ST NW, GIG HARBOR, WA 98332-9086
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/06/2016
Last updated
09/27/2022
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