Individual
KATHRYN D RYKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1700 E BOGARD RD, WASILLA, AK 99654-6563
(907) 290-9595
(800) 645-2157
Mailing address
150 E FAIRVIEW LOOP, WASILLA, AK 99654-0568
(248) 421-9042
(800) 645-2157
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
135582
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135582
STATE LICENSE
AK
Enumeration date
11/25/2024
Last updated
11/25/2024
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