Ruth Elizabeth Lyle, PT
Physical Therapist in Faribanks, AK. Individual provider (NPI-1).
NPI number1124454541
StatusActive
Last updated in NPPESSep 17, 2013
Details
- NPI
- 1124454541
- Entity type
- Individual (NPI-1)
- Name
- Ruth Elizabeth Lyle
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 17, 2013
- Last updated
- Sep 17, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 170 | AK | Yes |
Practice location
315 Barnette St#74638
Faribanks, AK 99707-4638
Phone 907-388-0692
Mailing address
665 Aspen Heights DrFairbanks, AK 99712-1111
Phone 907-388-0692
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