Riley Renee Arbuckle, LPTA

Individual provider Active NPI Physical Therapy Assistant · Rolla, MO

NPI 1558174664 · NPPES record last updated Jan 31, 2025

Key facts

NPI
1558174664
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2024035129 (MO)
Practice address
1000 W 10TH St
Rolla, MO 65401-2905
Phone
(573) 458-8899
NPI assigned
Jan 31, 2025
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2024035129MOMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2024035129 MO Yes

Addresses

Primary practice location

1000 W 10TH St
Rolla, MO 65401-2905

Mailing address

1000 W 10TH St
Rolla, MO 65401-2905
Phone (573) 458-8899

Other providers in Rolla, MO

All providers in Rolla, MO · Physical Therapy Assistant in Missouri

Sources for this page

Verify at the official NPI Registry.