Healthcare Provider Details

I. General information

NPI: 1750081014
Provider Name (Legal Business Name): SEAN RIMMER DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2023
Last Update Date: 03/06/2023
Certification Date: 03/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1785 E CHEYENNE MOUNTAIN BLVD
COLORADO SPRINGS CO
80906-4030
US

IV. Provider business mailing address

4424 WHITE OAK CT
COLORADO SPRINGS CO
80906-7770
US

V. Phone/Fax

Practice location:
  • Phone: 719-625-0446
  • Fax:
Mailing address:
  • Phone: 716-359-3144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number0014307
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: