Retta Riley

Athletic Trainer · Jackson, TN

Individual Active NPI

NPI number 1013532340

Practice location

1378 Union University Dr
Jackson, TN 38305-3780
Phone
(731) 664-7060
Fax
(731) 664-5005

Open in Google Maps

NPI record

NPI
1013532340
Entity type
Individual (Type 1)
Enumeration date
June 12, 2020
Last updated
June 12, 2020
Certified
June 12, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 1189 TN

Mailing address

1804 Highway 45 BYP Ste 604
Jackson, TN 38305-4403
Phone
(731) 660-8781
Fax
(731) 660-8739

About Retta Riley

Retta Riley is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1378 Union University Dr, Jackson, TN 38305-3780. The NPI number 1013532340 was assigned on June 12, 2020 and the record was last updated on June 12, 2020.

Retta Riley lists a license in the registry: #1189 (TN) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Retta Riley?

The NPI number is 1013532340.

What is the phone number of Retta Riley?

The phone number listed for the practice location is (731) 664-7060.

Where is Retta Riley located?

1378 Union University Dr, Jackson, TN 38305-3780.

What is the taxonomy code for Retta Riley?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Athletic Trainer providers in Jackson

All Athletic Trainer providers in Jackson, TN →