Individual
MALINDA K RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
415 CROSSLAKE DR, EVANSVILLE, IN 47715-8263
(812) 476-0409
(812) 476-1016
Mailing address
PO BOX 5629, EVANSVILLE, IN 47716-5629
(812) 759-7451
(812) 759-7482
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005971
KY
225100000X
Physical Therapist
05008665A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000714667
BLUE CROSS BLUE SHIELD
IN
01
—
000000725882
BLUE CROSS BLUE SHIELD
IN
01
—
000000808883
BLUE CROSS BLUE SHIELD
KY
05
—
201020130
—
IN
Enumeration date
08/27/2009
Last updated
02/17/2020
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