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PRAIRIE RIDGE ORTHOPEDIC
NPI 1033718192
Massage Therapist in Noble, IL

Active since October 20, 2020
1750 E COLBORN CAMP LN, NOBLE, IL 62868(618) 302-1703 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 15, 2022, Sep 20, 2022, Oct 20, 2020 (3 updates tracked since 2020).

About Prairie Ridge Orthopedic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAIRIE RIDGE ORTHOPEDIC (NPI 1033718192) is a healthcare organization registered as a massage therapist in Noble, Illinois and active in the NPI registry since October 2020. The organization lists Jody Hazel, Therapist, as its authorized official.

NPPES Registry Identity

NPI1033718192
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NamePRAIRIE RIDGE ORTHOPEDIC
Location Address1750 E COLBORN CAMP LNNoble, IL 62868-2348
Mailing Address1750 E Colborn Camp LnNoble, IL 62868-2348 · (618) 302-1703
Phone(618) 302-1703
Organization SubpartNo
Authorized OfficialJody HazelTherapist · (618) 302-1703
Enumeration DateOctober 20, 2020
Last NPPES UpdateNovember 15, 20223 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
✔ NPI 1033718192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
1750 E COLBORN CAMP LN, Noble, IL 62868
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JODY LEE HAZEL LMT
Massage Therapist
1750 E COLBORN CAMP LN
NOBLE, IL 62868
Richland County (618) 302-1703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prairie Ridge Orthopedic's NPI number?

The NPI number for Prairie Ridge Orthopedic is 1033718192. It was assigned to this organization in the NPPES registry on October 20, 2020.

Where is Prairie Ridge Orthopedic located?

Prairie Ridge Orthopedic is located at 1750 E Colborn Camp Ln, Noble, IL 62868. The listed phone number is (618) 302-1703.

What is Prairie Ridge Orthopedic's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Prairie Ridge Orthopedic was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.