Provider Demographics
NPI:1821255274
Name:RYLANDS, BETH ANITA (PTA)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:ANITA
Last Name:RYLANDS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13083 N. 100TH DR.
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351
Mailing Address - Country:US
Mailing Address - Phone:602-689-5369
Mailing Address - Fax:
Practice Address - Street 1:1640 W. REDSTONE CENTER DR.
Practice Address - Street 2:SUITE 200
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84098
Practice Address - Country:US
Practice Address - Phone:435-776-7246
Practice Address - Fax:186-664-5089
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0123A225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant