Individual
RYLEE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 E 9TH AVE, MOSES LAKE, WA 98837-3091
(877) 462-3687
Mailing address
115 N HIGH AVE, JEFFERSON, WI 53549-1012
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WA
Other
Enumeration date
08/09/2020
Last updated
03/15/2023
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