Individual provider · Type 1 NPI

Rylie Anderson

Developmental Therapist · Rexburg, ID

NPI number 1477490936 Active

Practice location

600 Tanglewood Dr
Rexburg, ID 83440-4915

Specialties and licenses

Taxonomy	Code	License
Developmental Therapist Primary	222Q00000X	None listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1477490936

Rylie Anderson's National Provider Identifier is 1477490936, issued on May 1, 2026. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Rexburg, ID. The record was last updated on May 3, 2026.