STAR AMBER RIDSDALE LMT NPI 1780739060

NPI Information

  • NPI: 1780739060
  • Provider Name: STAR AMBER RIDSDALE, LMT
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 1005 21ST ST SE
    SUITE #9
    RIO RANCHO, NM
    ZIP 87124
  • Phone: (505) 239-9644

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NPI Details

Star Amber Ridsdale, LMT is a specialist in Rio Rancho, NM. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Star Amber Ridsdale, LMT NPI is 1780739060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1005 21ST ST SE
SUITE #9
RIO RANCHO, NM
ZIP 87124-030
Phone: (505) 239-9644
Fax: (505) 896-2958

The enumeration date for this NPI number is 1/24/2007 and was last updated on 1/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist1435NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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