Individual
ANA JEAN RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6911 TOMAHAWK RD, PRAIRIE VILLAGE, KS 66208-2618
(913) 871-6291
Mailing address
8538 METTEE ST, LENEXA, KS 66219-2075
(913) 832-2226
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-06247
KS
225100000X
Physical Therapist
2019021507
MO
Other
Enumeration date
06/19/2019
Last updated
09/19/2023
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