Provider Demographics
NPI:1629709449
Name:ARNOLD, RILEY (DC)
Entity Type:Individual
Prefix:
First Name:RILEY
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 FORD ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-2837
Mailing Address - Country:US
Mailing Address - Phone:190-331-2436
Mailing Address - Fax:
Practice Address - Street 1:1464 E WHITESTONE BLVD STE 901
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-9068
Practice Address - Country:US
Practice Address - Phone:512-641-1333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15224111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor