Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYLEE HACKWORTH, PA
ActiveRYLEE HACKWORTH, PA is a Medical Physician Assistant healthcare provider located in LAGRANGE, Indiana. NPI 1063104719 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · LAGRANGE, IN
Registration Details
- NPI Number
- 1063104719
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 22, 2023 (3.2298265971074 yrs)
- Last Updated
- Jan 9, 2025
- License
-
10004694A (IN)
Practice Information
- Address
-
2500 N DETROIT STLAGRANGE, IN, 467611158Browse IN providers · Browse ZIP 46761
- Phone
- 2604632133
- Fax
- 2604633775
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.