Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Regina Marie Riley, CTRS, CDP

Individual provider Recreation Therapist · NPI 1881291383

Regina Marie Riley, CTRS, CDP is a Recreation Therapist in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2020
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Practice location Address checks out

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Phone: (601) 362-4471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 62084 (MS)

Record details

NPI number1881291383
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS , CDP
Sole proprietorYes
NPI enumeratedOctober 7, 2020
Last updated in NPPESOctober 7, 2020
Certification dateOctober 7, 2020

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