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NPI Code Detail

MEDICARE: RILEY M ARNOLD

MEDICARE: RILEY M ARNOLD
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
1225X00000XOccupational Therapist2331NE

General Provider Information

NPI Number : 1326600891
Entity Type Code : Individual
Provider Name (Legal Business Name) : RILEY M ARNOLD
Provider Business Mailing Address
First Line : 820 W 56TH ST APT 147
Second Line :
City : KEARNEY
State : NE
Zip : 68845-1006
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4510 E 56TH ST
Second Line :
City : KEARNEY
State : NE
Zip : 68847-4118
Country : US
Telephone Number : 402-363-1241
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2019
Last Update Date : 07/03/2019

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Directions to “ RILEY M ARNOLD ” Practice Location

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