Individual
KELLEY RIEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., A.T.C., O.T.C.
Contact information
Practice address
1010 EXECUTIVE DR, SUITE 250, WESTMONT, IL 60559-6135
(690) 794-8668
(630) 920-2382
Mailing address
1330 S FINLEY RD, APT 3L, LOMBARD, IL 60148-4322
(814) 573-2909
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003798
IL
Other
Enumeration date
08/26/2013
Last updated
08/12/2015
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