Individual
RYLIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 TANGLEWOOD DR, REXBURG, ID 83440-4915
(208) 313-9946
Mailing address
600 TANGLEWOOD DR, REXBURG, ID 83440-4915
(208) 313-9946
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/01/2026
Last updated
05/03/2026
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