Provider Demographics
NPI:1912309311
Name:RYSER, RUTH MARY (OTR/L)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:MARY
Last Name:RYSER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:MARY
Other - Last Name:PARSONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2920 QUINCE ST SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-3583
Mailing Address - Country:US
Mailing Address - Phone:360-252-0254
Mailing Address - Fax:
Practice Address - Street 1:2920 QUINCE ST SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-3583
Practice Address - Country:US
Practice Address - Phone:360-252-0254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT60209898171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor