Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jillian Allyn Riessen, MED, ATC, LAT

Individual provider Athletic Trainer · NPI 1831640614

Jillian Allyn Riessen, MED, ATC, LAT is an Athletic Trainer in Columbia, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2016
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

3301 Berrywood Dr Ste 204
Columbia, MO 65201-6517
Phone: (573) 449-8771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2011028500 (MO)

Record details

NPI number1831640614
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , ATC , LAT
Sole proprietorYes
NPI enumeratedOctober 17, 2016
Last updated in NPPESOctober 17, 2016

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