Individual
RILEY C LYVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, NASM-CES
Contact information
Practice address
1408 3RD AVE. APT 15, HUNTINGTON, WV 25701-6849
(708) 267-4465
Mailing address
13776 MCCABE DR, ORLAND PARK, IL 60467-6849
(708) 267-4465
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001778
WV
2255A2300X
Athletic Trainer
—
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/28/2018
Last updated
05/07/2023
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