Individual
JACQULYN KRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
37930 AIRPORT RD, WOODSFIELD, OH 43793-9247
(740) 472-9869
(740) 472-1707
Mailing address
37930 AIRPORT RD, WOODSFIELD, OH 43793-9247
(740) 472-9869
(740) 472-1707
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6188
OH
225700000X
Massage Therapist
20299
OH
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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