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NPI Code Detail

MEDICARE: LEAH THERESE RILEY DPT

MEDICARE: LEAH THERESE RILEY 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
1225100000XPhysical Therapist5501018551MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15501018551OTHERMIMICHIGAN STATE LICENSE

General Provider Information

NPI Number : 1396253795
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH THERESE RILEY DPT
Provider Business Mailing Address
First Line : 2558 N SQUIRREL RD
Second Line :
City : AUBURN HILLS
State : MI
Zip : 48326-2383
Country : US
Telephone Number : 248-340-1100
Fax Number :
Provider Business Practice Location Address
First Line : 2558 N SQUIRREL RD
Second Line :
City : AUBURN HILLS
State : MI
Zip : 48326-2383
Country : US
Telephone Number : 248-340-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2018
Last Update Date : 04/01/2022

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Directions to “ LEAH THERESE RILEY DPT” Practice Location

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