Individual
MARY RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
284 SOGGY RUFF WAY, LAS VEGAS, NV 89148-5217
(216) 816-1210
Mailing address
284 SOGGY RUFF WAY, LAS VEGAS, NV 89148-5217
(216) 816-1210
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10288
NV
225700000X
Massage Therapist
33.017651
OH
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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