Most Relevant Information
Provider Data
| NPI Number: | 1003517657 |
| Provider Name: | HEIDI RILEY |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/10/2023 |
| Last Updated: | 03/10/2023 |
Provider Practice Location
1750 30TH ST # 504
BOULDER
CO
803011029
Practice Location Phone/Fax
| Phone: | 3035063478 |
| Fax: |
Provider Mailing Location
1750 30TH ST # 504
BOULDER
CO
803011029
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |