Corey M. Ridley, ATC

Athletic Trainer · Lewiston, ME

Individual Active NPI

NPI number 1922410786

Practice location

77 Bates St
Suite 201
Lewiston, ME 04240-7637
Phone
(207) 795-8465

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NPI record

NPI
1922410786
Entity type
Individual (Type 1)
Enumeration date
May 28, 2014
Last updated
March 25, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AT203 ME

Mailing address

266 Paris Rd
Hebron, ME 04238-3414
Phone
(207) 212-2185

About Corey Ridley

Corey M. Ridley, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 77 Bates St, Suite 201, Lewiston, ME 04240-7637. The NPI number 1922410786 was assigned on May 28, 2014 and the record was last updated on March 25, 2016.

Corey Ridley lists a license in the registry: #AT203 (ME) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Corey M. Ridley, ATC?

The NPI number is 1922410786.

What is the phone number of Corey Ridley?

The phone number listed for the practice location is (207) 795-8465.

Where is Corey Ridley located?

77 Bates St, Suite 201, Lewiston, ME 04240-7637.

What is the taxonomy code for Corey Ridley?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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