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Individual

CASEY RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
1124 MOBERLY RD, HARRODSBURG, KY 40330-9177
(859) 613-0850
Mailing address
1124 MOBERLY RD, HARRODSBURG, KY 40330-9177

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1216
KY

Other

Enumeration date
01/04/2018
Last updated
01/04/2018
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