Individual
RILEY QUAKENBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1411 S CREASY LN STE 120, LAFAYETTE, IN 47905-7433
(765) 447-4165
(765) 446-5317
Mailing address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10005020A
IN
Other
Enumeration date
07/11/2024
Last updated
09/22/2025
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