Individual
NICOLE RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1522 COVER DR, DALLAS, TX 75241-3768
(214) 863-8988
Mailing address
1522 COVER DR, DALLAS, TX 75241-3768
(214) 863-8988
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT129073
TX
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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