Individual
SIERRA MARIE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 NW 16TH ST # 200, FRUITLAND, ID 83619-2265
(208) 452-8060
Mailing address
3797 HIGHWAY 30 W, NEW PLYMOUTH, ID 83655-5144
(208) 781-1150
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-7256
ID
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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