Individual
TARA NICOLE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3895 HARRISON BLVD, OGDEN, UT 84403-2312
(801) 387-7678
Mailing address
2207 W 1300 N, LAYTON, UT 84041-7754
(607) 242-8472
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13400474-2401
UT
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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