Prairie Ridge Orthopedic
Prairie Ridge Orthopedic is a Massage Therapist in Noble, Illinois. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1750 E Colborn Camp LnNoble, IL 62868-2348
Phone: (618) 302-1703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X |
|---|
Record details
| NPI number | 1033718192 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jody Hazel — Therapist · (618) 302-1703 |
| NPI enumerated | October 20, 2020 |
| Last updated in NPPES | November 15, 2022 |
| Certification date | November 15, 2022 |
| Mailing address | 1750 E Colborn Camp Ln, Noble, IL 62868-2348 |
Other providers in Noble
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Jody Lee Hazel, LMT
1750 E Colborn Camp Ln, Noble, IL 62868-2348 · (618) 302-1703