Individual
DEBORA MARIE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1115 DUPONT CIRCLE, LOUISVILLE, KY 40207-4020
(502) 897-2400
Mailing address
1707 MILLGATE RD, APT F, LOUISVILLE, KY 40223-1062
(502) 599-5126
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
KY
225700000X
Massage Therapist
Primary
2320
KY
225800000X
Recreation Therapist
—
—
226300000X
Kinesiotherapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210614
AMTA
KY
01
—
549723-07
NCBTMB
—
Enumeration date
02/03/2010
Last updated
03/23/2010
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