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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRACI RIDDER

Active Sole Proprietor

TRACI RIDDER is a Occupational Therapist healthcare provider located in MARIENTHAL, Kansas. NPI 1497986038 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · MARIENTHAL, KS

Registration Details

NPI Number
1497986038
Provider Type
Individual
Gender
Male
NPI Issued
Jul 30, 2009 (17.085262168916 yrs)
Last Updated
Jul 30, 2009
License
1701259 (KS)
Sole Proprietor
Yes

Practice Information

Address
227 S COUNTY ROAD 21
MARIENTHAL, KS, 678636302
Browse KS providers · Browse ZIP 67863
Phone
7852721535
Primary Specialty
Occupational Therapist
225X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.