Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Corey M Ridley, ATC

Individual provider Athletic Trainer · NPI 1922410786

Mr. Corey M Ridley, ATC is an Athletic Trainer in Lewiston, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2014
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

77 Bates St Ste 201
Lewiston, ME 04240-7637
Phone: (207) 795-8465
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT203 (ME)

Record details

NPI number1922410786
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedMay 28, 2014
Last updated in NPPESMarch 25, 2016

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