Provider Demographics
NPI:1467085936
Name:CHAMBERS, RILEY MORGAN BELL (ATC)
Entity Type:Individual
Prefix:
First Name:RILEY
Middle Name:MORGAN BELL
Last Name:CHAMBERS
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 1:7761 W SHADOW CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-8022
Mailing Address - Country:US
Mailing Address - Phone:317-503-3617
Mailing Address - Fax:
Practice Address - Street 1:11542 APPLEWOOD CIR
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-6940
Practice Address - Country:US
Practice Address - Phone:317-503-3617
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-12
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer