Individual
RILEY GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 S 3RD ST, LOUISVILLE, KY 40203-2215
(502) 310-6671
Mailing address
15800 NORTHVILLE PL, LOUISVILLE, KY 40245-4287
(502) 310-6671
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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