Individual
GUY RIDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1390 OAK ST, SUITE 4, EUGENE, OR 97401-3567
(541) 513-7592
Mailing address
3451 VAN BUREN ST, EUGENE, OR 97405-2332
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11929
OR
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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