Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rylee Petersen

Individual provider Case Manager/Care Coordinator · NPI 1508709460

Rylee Petersen is a Case Manager/Care Coordinator in Riverton, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2026

Practice location Address checks out

12760 S Park Ave Unit 520
Riverton, UT 84065-3422
Phone: (801) 407-0047
Fax: (888) 400-9232
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence 14201933-3503 (UT)

Record details

NPI number1508709460
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 13, 2026
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing address2946 W 3450 N, Farr West, UT 84404-8616

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