Individual
KATHY A RILEY
Active
Individual
KATHY A RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, CHT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206192
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568452415
—
VA
01
—
192939
BCBS (PHYSICAL THERAPY)
VA
01
—
7939472
AETNA
VA
01
—
P00777042
RAILROAD MEDICARE
VA
Enumeration date
10/24/2005
Last updated
08/11/2023
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