Individual ProviderTheresa J RiethlePhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address233 Carew St, Springfield, MA 01104-2377(413) 748-6869(413) 967-4567PECOS EnrollmentBased on the most recent information from CMS, provider Theresa J Riethle does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1356566418Provider TypeIndividualFull NameRiethle, Theresa JCredentialP.A.-CGenderFemaleSole ProprietorNoEnumeration Date4/16/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address233 Carew St, Springfield, MA 01104-2377Phone(413) 748-6869FaxUnlisted FaxMailing LocationMailing Address143 Greenwich Plns Rd, Ware, MA 01082-9798Phone(413) 967-4567FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense983Massachusetts