IndividualActive
Cesiley Rideau, ATC
NPI 1811354046 · Athletic Trainer · Russellville, AR
Provider details
- NPI number
- 1811354046
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 698 (AR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1306 N El Paso Ave
Hull 128
Russellville, AR 72801-8814
Phone: (479) 968-0642
Fax: (479) 498-6044
Approximate (ZIP-level) locationGet directions
Mailing address
1306 N El Paso Ave
Russellville, AR 72801-8814
Registry dates
- Enumerated
- 2016-01-19
- Last updated
- 2016-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.