Provider Demographics
NPI:1215824388
Name:NORMAND, RYLEIGH
Entity type:Individual
Prefix:
First Name:RYLEIGH
Middle Name:
Last Name:NORMAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RYLEIGH
Other - Middle Name:
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:235356 N 80TH AVE
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-4492
Mailing Address - Country:US
Mailing Address - Phone:715-212-6865
Mailing Address - Fax:
Practice Address - Street 1:235356 N 80TH AVE
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-4492
Practice Address - Country:US
Practice Address - Phone:715-212-6865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-21
Last Update Date:2025-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program