IndividualActive
Regina Riley, CTRS, CDP
NPI 1881291383 · Recreation Therapist · Jackson, MS
Provider details
- NPI number
- 1881291383
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CTRS, CDP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 62084 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Phone: (601) 362-4471
Approximate (ZIP-level) locationGet directions
Mailing address
113 King Collier Rd
Brandon, MS 39042-9397
Registry dates
- Enumerated
- 2020-10-07
- Last updated
- 2020-10-07
- Certified
- 2020-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.