Individual
RYLIE BLAINE SHOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2921 W 1ST ST, COFFEYVILLE, KS 67337-2441
(620) 251-3705
Mailing address
5550 COLONY CT, BARTLESVILLE, OK 74006-8869
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01676
KS
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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