Provider Demographics
NPI:1952977282
Name:GREESON, RILEY
Entity type:Individual
Prefix:
First Name:RILEY
Middle Name:
Last Name:GREESON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RILEY
Other - Middle Name:
Other - Last Name:ZOPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1130 N CHURCH ST
Mailing Address - Street 2:STE 100
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1041
Mailing Address - Country:US
Mailing Address - Phone:423-682-8840
Mailing Address - Fax:
Practice Address - Street 1:2001 N CHURCH ST STE 230
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-5633
Practice Address - Country:US
Practice Address - Phone:336-275-1711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist