Provider Demographics
NPI:1245796895
Name:RITTMANIC, ASHLYN SHAYE (DPT)
Entity Type:Individual
Prefix:
First Name:ASHLYN
Middle Name:SHAYE
Last Name:RITTMANIC
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ASHLYN
Other - Middle Name:SHAYE
Other - Last Name:MILLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:90 ALBION VILLAGE WAY
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-4013
Mailing Address - Country:US
Mailing Address - Phone:801-619-3670
Mailing Address - Fax:801-619-3679
Practice Address - Street 1:90 ALBION VILLAGE WAY
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-4013
Practice Address - Country:US
Practice Address - Phone:801-619-3670
Practice Address - Fax:801-619-3679
Is Sole Proprietor?:No
Enumeration Date:2019-02-19
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11087309-24012251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology