Provider Demographics
NPI:1174331185
Name:BANKS, RYLIE AUTUMN
Entity type:Individual
Prefix:
First Name:RYLIE
Middle Name:AUTUMN
Last Name:BANKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RYLIE
Other - Middle Name:AUTUMN
Other - Last Name:SNYDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:337 DANIELS AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43609-2270
Mailing Address - Country:US
Mailing Address - Phone:419-788-5912
Mailing Address - Fax:
Practice Address - Street 1:337 DANIELS AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43609-2270
Practice Address - Country:US
Practice Address - Phone:419-788-5912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-23
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide