Doctor Name: | VIRGINIA L RILEY |
NPI Number: | 1215285820 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP |
License Number: | MA60302888 |
Business Practice Address: | 1025 108th Ave Ne Bellevue, WA - 98004 |
Business Phone Number: | 4259747808 |
Business Fax Number: | 4259747810 |
Mailing Address: | 5211 20th Ave Nw Ste C, SEATTLE |
State: | WA |
Postal Code: | 98107 |
Phone Number: | 2062972792 |
Fax Number: | 2062971051 |
NPI Enumeration Date: | 08/29/2012 |
NPI Last Update Date: | 08/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA60302888 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |