Individual
MISS RIELLY L BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9515 60TH AVENUE CT E, PUYALLUP, WA 98371-6158
(253) 651-7434
Mailing address
9515 60TH AVENUE CT E, PUYALLUP, WA 98371-6158
(253) 651-7434
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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