Provider Demographics
NPI:1649091406
Name:NOWLING, RILEY ANNE (PT, DPT)
Entity type:Individual
Prefix:
First Name:RILEY
Middle Name:ANNE
Last Name:NOWLING
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6526
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29260-6526
Mailing Address - Country:US
Mailing Address - Phone:803-693-5040
Mailing Address - Fax:803-993-9472
Practice Address - Street 1:301 E DEKALB ST # B
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:SC
Practice Address - Zip Code:29020-4495
Practice Address - Country:US
Practice Address - Phone:803-432-2432
Practice Address - Fax:803-432-1779
Is Sole Proprietor?:No
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12587225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist