IndividualActive
Andrea Ridout, PTA
NPI 1639229669 · Physical Therapy Assistant · Hannibal, MO
Provider details
- NPI number
- 1639229669
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 115419 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
6000 Hospital Drive
Hannibal, MO 63401
Phone: (573) 406-0576
Approximate (ZIP-level) locationGet directions
Mailing address
7531 County Road 426
Hannibal, MO 63401-6634
Registry dates
- Enumerated
- 2007-01-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.