MR. Jason Riley, MPT, ATC, LAT, CKTP
NPI #1861444200 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1861444200
- Entity Type
- Individual
- Name
- MR. Jason Riley, MPT, ATC, LAT, CKTP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- MPT, ATC, LAT, CKTP
- Enumeration Date
- May 16, 2006
- Last Updated
- Jan 9, 2019
Practice Location
- Address
- 650 OLIVE ST
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71104
- Phone
- (318) 302-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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