Provider Demographics
NPI:1609083039
Name:RIEDINGER, DAVID B (LMT, NMT, BS, MS)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:B
Last Name:RIEDINGER
Suffix:
Gender:M
Credentials:LMT, NMT, BS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9676 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-7611
Mailing Address - Country:US
Mailing Address - Phone:614-761-2048
Mailing Address - Fax:
Practice Address - Street 1:4874 BLAZER PKWY
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-3302
Practice Address - Country:US
Practice Address - Phone:614-718-2673
Practice Address - Fax:614-718-2033
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.011180225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist