Individual
LEA RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMT
Contact information
Practice address
607 HARKRIDER ST STE 5, CONWAY, AR 72032-5692
(501) 259-5727
Mailing address
1645 CHURCHILL DR, CONWAY, AR 72034-6496
(501) 259-5727
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8292
AR
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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