Individual
RYLAN BROOKS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1992 E STOP 13 RD, INDIANAPOLIS, IN 46227-6267
(317) 808-0230
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06007029A
IN
Other
Enumeration date
08/27/2025
Last updated
10/23/2025
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