Provider Demographics
NPI:1205553039
Name:RITCHIE, BRIGIETT KAY (OMT)
Entity type:Individual
Prefix:MRS
First Name:BRIGIETT
Middle Name:KAY
Last Name:RITCHIE
Suffix:
Gender:F
Credentials:OMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2062 RICHERT AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-5236
Mailing Address - Country:US
Mailing Address - Phone:559-387-9052
Mailing Address - Fax:
Practice Address - Street 1:2062 RICHERT AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-5236
Practice Address - Country:US
Practice Address - Phone:559-387-9052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24658174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist