| Doctor Name: | MR. JOHN WESLEY RILEY |
| NPI Number: | 1487862736 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.M.T., M.T.I. |
| License Number: | MT003331 |
| Business Practice Address: | 4407 Bee Cave Rd Suite 513 West Lake Hills, TX - 787466405 |
| Business Phone Number: | 5127320037 |
| Business Fax Number: | 5123283228 |
| Mailing Address: | 4407 Bee Cave Rd, Suite 513 WEST LAKE HILLS |
| State: | TX |
| Postal Code: | 787466405 |
| Phone Number: | 5127320037 |
| Fax Number: | 5123283228 |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225700000X |
| License Number: | MT003331 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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. |