Provider Demographics
NPI:1932370152
Name:RIEGER, JENNIFER LYNN (MS, ATC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LYNN
Last Name:RIEGER
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1829 BALDWIN DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94519-1835
Mailing Address - Country:US
Mailing Address - Phone:925-209-9345
Mailing Address - Fax:
Practice Address - Street 1:45500 FREMONT BLVD
Practice Address - Street 2:WORK-FIT @ NUMMI
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-6326
Practice Address - Country:US
Practice Address - Phone:510-445-4876
Practice Address - Fax:510-445-4884
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer