Provider Demographics
NPI:1770261489
Name:RUTHERFORD, RYLEE MORGAN
Entity type:Individual
Prefix:
First Name:RYLEE
Middle Name:MORGAN
Last Name:RUTHERFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7720 E BELLEVIEW AVE STE BG1
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2977
Mailing Address - Country:US
Mailing Address - Phone:720-287-4185
Mailing Address - Fax:
Practice Address - Street 1:7720 E BELLEVIEW AVE STE B250
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2686
Practice Address - Country:US
Practice Address - Phone:720-613-1226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-11
Last Update Date:2024-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0001152235Z00000X
COSLP.0005949235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist