Provider Demographics
NPI:1003206541
Name:RISER, AYNSLEY DALE (ATC)
Entity Type:Individual
Prefix:
First Name:AYNSLEY
Middle Name:DALE
Last Name:RISER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 MCMURRAY DR
Mailing Address - Street 2:APT H8
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-5811
Mailing Address - Country:US
Mailing Address - Phone:615-427-8915
Mailing Address - Fax:
Practice Address - Street 1:263 SEABOARD LN
Practice Address - Street 2:SUITE 200
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-4877
Practice Address - Country:US
Practice Address - Phone:615-591-6590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-04
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16752255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer