Individual
MAKAYLA RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4508 S CARILLON DR, WASILLA, AK 99623-0202
(602) 621-1819
Mailing address
PO BOX 872579, WASILLA, AK 99687-2579
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
227807
AK
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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