MEDICARE: RYAN RINDLISBACHER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	3383	NV

General Provider Information

NPI Number	:	1952754285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN RINDLISBACHER

Provider Business Mailing Address
First Line	:	129 W LAKE MEAD PKWY
Second Line	:	SUITE 2
City	:	HENDERSON
State	:	NV
Zip	:	89015-6954
Country	:	US
Telephone Number	:	702-564-6712
Fax Number	:	702-564-4838

Provider Business Practice Location Address
First Line	:	1341 S RAINBOW BLVD
Second Line	:	SUITE 200
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-9069
Country	:	US
Telephone Number	:	702-564-6712
Fax Number	:	702-564-4838

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2016
Last Update Date	:	07/21/2016

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Directions to “ RYAN RINDLISBACHER ” Practice Location

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