Kevin Christopher Ridgley

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60281143 Issued in WA

Practice address

9720 N Nevada St
Spokane, WA 99218

Phone

(509) 464-2273

NPI assigned

Jan 25, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Theology

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mark WM Houk ,D.C. P.S.

  • Chiropractor
  • Spokane, WA
  • NPI 1528046778
  NPD (past)
• Spinal & Sports Care Clinic P S

  • Chiropractor
  • Spokane Valley, WA
  • NPI 1760699326

  Massage Therapist

  NPD (past)
• Houk Chiropractic-Coeur D'Alene P.C.

  • Chiropractor
  • Coeur D Alene, ID
  • NPI 1104264811
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1114481975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5804 N OAK ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056842",
            "telephone_number": "509-570-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 N NEVADA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99218",
            "telephone_number": "509-464-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGLEY",
        "first_name": "KEVIN",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60281143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE",
            "identifier": "MA60281143",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Riddle
• Tiffany London Riddle, LMFTA
• Taylor Jo Ridenour, LMHC
• Russell Rider, MD
• Ridgepoint Performance Medicine PLLC
• Ridgway & Forsyth Psychology, P.S.
• Pamela S. Ridgway, PH.D.
• Lynne H. Ridlon, M.S.
• Scott Kevin Riedlinger, CRNA
• Tessa Nicole Riegel, BA

• Massage Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.