Individual
KIMETT RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6618 SITIO DEL RIO BLVD STE D103, AUSTIN, TX 78730-1148
(610) 703-8105
Mailing address
6618 SITIO DEL RIO BLVD STE D103, AUSTIN, TX 78730-1148
(610) 703-8105
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT126546
TX
225700000X
Massage Therapist
—
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Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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