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NPI Code Detail

MEDICARE: MICAELA EPIFANIO RILEY PT,DPT

MEDICARE:   MICAELA EPIFANIO RILEY  PT,DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical TherapistPT60980956WA
2225100000XPhysical TherapistPT60980956WA

General Provider Information

NPI Number : 1558906172
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICAELA EPIFANIO RILEY PT,DPT
Provider Business Mailing Address
First Line : 1455 NW LEARY WAY STE 150
Second Line :
City : SEATTLE
State : WA
Zip : 98107-5140
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1455 NW LEARY WAY STE 150
Second Line :
City : SEATTLE
State : WA
Zip : 98107-5140
Country : US
Telephone Number : 206-782-0218
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2019
Last Update Date : 11/07/2019

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Directions to “ MICAELA EPIFANIO RILEY PT,DPT” Practice Location

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