Carol Jonnette Riley, LMT

NPI #1205269156 in Mount Vernon, Ohio

Provider Information

NPI Number: 1205269156
Entity Type: Individual
Name: Carol Jonnette Riley, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Aug 14, 2013
Last Updated: Aug 14, 2013

Practice Location

Address: 444 COLUMBUS RD
Address 2: SUITE F
City: Mount Vernon
State: Ohio
ZIP Code: 43050-4461
Phone: (740) 397-0330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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