Provider Demographics
NPI:1215801931
Name:BLOCK, RILEY (DC)
Entity type:Individual
Prefix:
First Name:RILEY
Middle Name:
Last Name:BLOCK
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 1:2912 JAYHAWKS WAY APT 4
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57703-7047
Mailing Address - Country:US
Mailing Address - Phone:605-872-2464
Mailing Address - Fax:
Practice Address - Street 1:2912 JAYHAWKS WAY APT 4
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57703-7047
Practice Address - Country:US
Practice Address - Phone:605-872-2464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-04
Last Update Date:2025-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1521111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor