Individual provider · Type 1 NPI
Jessica Riley, LMT
Specialist · Bridgeport, WV
NPI number
1497164479
Active
Practice location
1913 Meadowbrook Rd
Bridgeport, WV 26330-7076
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 20112905 (WV) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1497164479
Jessica Riley, LMT's National Provider Identifier is 1497164479, issued on Aug 4, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bridgeport, WV. The record was last updated on Aug 4, 2014.