Individual provider · Type 1 NPI

Rena Jeaneen Riddell, L.M.P.

Massage Therapist · Port Orchard, WA

NPI number 1053550764 Active

Practice location

3061 SE Maple St
Port Orchard, WA 98366-2945

Call (360) 540-1751 Map

Fax (360) 895-4210

Mailing address

2501 SE Mile Hill Dr, Ste. A-101
Port Orchard, WA 98366-3500

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XM60041452 (WA)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1053550764

Rena Jeaneen Riddell, L.M.P.'s National Provider Identifier is 1053550764, issued on Feb 19, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Port Orchard, WA. The record was last updated on May 7, 2010.