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General NPI Number Information
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NPI Number | 1588108880
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Entity Type | Individual
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Provider Name | KYLE RILEY DPT
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Gender | Male
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Dates
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Enumeration Date | 12/06/2016
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Last Update Date | 11/15/2021
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Provider Practice Location Address
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Address Line | 1905 W 8TH ST STE 116
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City | LOVELAND
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State | CO
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Zip | 80537-5281
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Country | US
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Telephone | 38-278-7853
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Fax | 303-684-0481
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Provider Business Mailing Address
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Address Line | 3417 MOUNTAINWOOD LN
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City | JOHNSTOWN
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State | CO
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Zip | 80534-4135
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Country | US
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Telephone | 303-827-8785
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Fax | 303-684-0481
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL.014459
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License Number State | CO
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