Individual
BAILEY LYNN RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC,LAT
Contact information
Practice address
3946 ICE WAY, FORT WAYNE, IN 46805-1018
(260) 444-2591
Mailing address
1606 EDENTON DR, FORT WAYNE, IN 46804-5820
(260) 705-6493
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
12/04/2024
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