Individual
TARA LYN RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
75-127 LUNAPULE ROAD, #11, KAILUA KONA, HI 96740
(808) 326-7778
(808) 326-4063
Mailing address
75-5851 KUAKINI HWY, #34, KAILUA KONA, HI 63740
(429) 842-7161
(479) 521-5439
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-947
HI
225XP0200X
Pediatric Occupational Therapist
OTR1131
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130525721
—
AR
01
—
5T431
AR BLUE CROSS BLUE SHEILD
—
Enumeration date
01/22/2007
Last updated
02/23/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us