Individual
MR. JASON RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, ATC, LAT, CKTP
Contact information
Practice address
650 OLIVE ST, SHREVEPORT, LA 71104
(318) 302-6000
(318) 302-6001
Mailing address
214 WINKLER WAY, MONROE, LA 71203-6527
(318) 537-4376
(318) 302-6001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0556R
LA
Other
Enumeration date
05/16/2006
Last updated
04/06/2026
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