Individual
RILEY COCKERILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1550 MONTGOMERY HWY STE L, VESTAVIA HILLS, AL 35216-4580
(205) 855-5800
Mailing address
2823 GREYSTONE COMMERCIAL BLVD, HOOVER, AL 35242-2660
(205) 745-3660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
13841
TN
225100000X
Physical Therapist
Primary
PTH12021
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q070908
—
TN
Enumeration date
09/28/2021
Last updated
11/05/2024
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