Traci Ridder
Occupational Therapist in Marienthal, KS. Individual provider (NPI-1).
NPI number1497986038
StatusActive
Last updated in NPPESJul 30, 2009
Details
- NPI
- 1497986038
- Entity type
- Individual (NPI-1)
- Name
- Traci Ridder
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 30, 2009
- Last updated
- Jul 30, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 1701259 | KS | Yes |
Practice location
227 S County Road 21Marienthal, KS 67863-6302
Phone 785-272-1535
Mailing address
227 S County Road 21Marienthal, KS 67863-6302
Phone 785-272-1535
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