Individual
CARRIE RENEE RYDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 ONYX ST, KEMMERER, WY 83101-3214
(307) 877-4496
Mailing address
PO BOX 1179, KEMMERER, WY 83101-1179
(605) 670-6215
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
06/04/2025
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