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1558825166
CODY RILEY
JACKSON, TN
NPI
1558825166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 6568)
Enumeration Date
2019-01-28
Last Update Date
2019-01-28
Business Address
CODY RILEY PTA
118 GLASS ST
JACKSON, TN 38301-4625
Phone number: 731-424-2951
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Mailing Address
CODY RILEY PTA
10133 SHERRILL BLVD STE 200
KNOXVILLE, TN 37932-3347
Phone number: 901-281-8170
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