Provider Demographics
NPI:1851035695
Name:RIEHL, TERRY J
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:J
Last Name:RIEHL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6597 NOBLE LN
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-9642
Mailing Address - Country:US
Mailing Address - Phone:406-431-3873
Mailing Address - Fax:
Practice Address - Street 1:950 N MONTANA AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3816
Practice Address - Country:US
Practice Address - Phone:406-431-3873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty