Provider Demographics
NPI:1275668816
Name:RIMANN, ELISABETH K (LMT)
Entity Type:Individual
Prefix:MS
First Name:ELISABETH
Middle Name:K
Last Name:RIMANN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 LENA ST STE A1
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-2002
Mailing Address - Country:US
Mailing Address - Phone:505-982-5868
Mailing Address - Fax:505-995-0500
Practice Address - Street 1:1704 LENA ST STE A1
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-2002
Practice Address - Country:US
Practice Address - Phone:505-982-5868
Practice Address - Fax:505-995-0500
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1080225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist