Provider Demographics
NPI:1922205111
Name:RYE, THOMAS WRIGHT
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:WRIGHT
Last Name:RYE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 131
Mailing Address - Street 2:
Mailing Address - City:YOUNG
Mailing Address - State:AZ
Mailing Address - Zip Code:85554-0131
Mailing Address - Country:US
Mailing Address - Phone:928-462-3253
Mailing Address - Fax:
Practice Address - Street 1:698 N TEWKSBURY BLVD.
Practice Address - Street 2:
Practice Address - City:YOUNG
Practice Address - State:AZ
Practice Address - Zip Code:85554-0131
Practice Address - Country:US
Practice Address - Phone:928-462-3253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator