Brian Riley PTA

NPI 1073770210 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1073770210
Gender Male
Enumeration Date 05/16/2008
Last Updated 05/16/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
825 S 6TH ST
LOUISVILLE KY, 40203-2123, US
Phone (502) 568-1000
Fax (502) 568-1015
Business Location
825 S 6TH ST
LOUISVILLE KY, 40203-2123, US
Phone (502) 568-1000
Fax (502) 568-1015
Toxanomy
Taxonomy Code 225200000X
License State Kentucky
License Number A01810
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According to our database, Brian Riley PTA NPI is 1073770210, taxonomy code is 225200000X and license number is A01810, license state is located at Kentucky. Brian Riley PTA physically located at 825 S 6th St, Louisville KY, 40203-2123. NPI Number Brian Riley PTA has the Individual type.

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1073770210 NPI number is provided on an as is basis without warranty of any kind. 1073770210 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Riley PTA are for informational purposes only.