Provider Demographics
NPI:1528782737
Name:MCDIFFITT, RILEY P (DPT)
Entity type:Individual
Prefix:DR
First Name:RILEY
Middle Name:P
Last Name:MCDIFFITT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 VALLEY VIEW AVE TRLR 23
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-3681
Mailing Address - Country:US
Mailing Address - Phone:740-338-8864
Mailing Address - Fax:
Practice Address - Street 1:511 BURROUGHS ST STE 102
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-3389
Practice Address - Country:US
Practice Address - Phone:304-285-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist