Individual provider · Type 1 NPI
Rylie Wackerly, DO
Student in an Organized Health Care Education/Training Program · Austin, TX
NPI number
1295593804
Active
Practice location
1501 Red River St Fl 2
Austin, TX 78712-1845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1295593804
Rylie Wackerly, DO's National Provider Identifier is 1295593804, issued on Mar 8, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Austin, TX. The record was last updated on Apr 18, 2026.