IndividualActive
Corey Ridley, ATC
NPI 1922410786 · Athletic Trainer · Lewiston, ME
Provider details
- NPI number
- 1922410786
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT203 (ME)
Mailing address
266 Paris Rd
Hebron, ME 04238-3414
Registry dates
- Enumerated
- 2014-05-28
- Last updated
- 2016-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.