Individual
RILEY EVAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
1000 15TH ST N, HUMBOLDT, IA 50548-1008
(515) 332-7621
Mailing address
504 7TH AVE S, HUMBOLDT, IA 50548-2227
(712) 330-4829
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
123736
IA
2255A2300X
Athletic Trainer
109070
IA
Other
Enumeration date
07/14/2022
Last updated
04/17/2026
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