Individual
RUTH ELIZABETH LYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
315 BARNETTE ST, #74638, FARIBANKS, AK 99707-4638
(907) 388-0692
Mailing address
665 ASPEN HEIGHTS DR, FAIRBANKS, AK 99712-1111
(907) 388-0692
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
170
AK
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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