Individual
KRISTA LYNN RIDEOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
724 COMMERCIAL ST, ROCKPORT, ME 04856-4201
(207) 615-4768
Mailing address
47 VANNER RD, WASHINGTON, ME 04574-3636
(207) 615-4768
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4561
ME
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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