Individual
RANDY H. RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3681
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121690
—
AL
01
—
511-09120
BCBS OF ALABAMA
AL
01
—
515-21795
BCBS - EPR REHAB
AL
05
—
890011740
—
AL
Enumeration date
09/29/2005
Last updated
11/20/2014
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