Individual
CODY RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
118 GLASS ST, JACKSON, TN 38301-4625
(731) 424-2951
Mailing address
10133 SHERRILL BLVD STE 200, KNOXVILLE, TN 37932-3347
(901) 281-8170
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6568
TN
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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