Ashley N Riffle, ATC

Individual provider Active NPI Athletic Trainer · Fort Gay, WV

NPI 1184138463 · NPPES record last updated Nov 25, 2017

Key facts

NPI
1184138463
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
16 Sluss Dr
Fort Gay, WV 25514-7081
Phone
(304) 730-8610
NPI assigned
Nov 25, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer
Group: 193400000X SINGLE SPECIALTY GROUP
2255A2300X WV Yes

Addresses

Primary practice location

16 Sluss Dr
Fort Gay, WV 25514-7081

Mailing address

PO Box 984
Fort Gay, WV 25514-0984
Phone (304) 730-8610

Other identifiers

IdentifierTypeStateIssuer
2000026675OtherBOC

Other providers in Fort Gay, WV

All providers in Fort Gay, WV · Athletic Trainer in West Virginia

Sources for this page

Verify at the official NPI Registry.