JASON RILEY

SHREVEPORT, LA
NPI1861444200
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  0556R)
Enumeration Date2006-05-16
Last Update Date2019-01-09
Business Address
Mr. JASON RILEY MPT, ATC, LAT, CKTP
650 OLIVE ST
SHREVEPORT, LA 71104
Phone number: 318-302-6000
Mailing Address
Mr. JASON RILEY MPT, ATC, LAT, CKTP
214 WINKLER WAY
MONROE, LA 71203-6527
Phone number: 318-537-4376
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