Provider Demographics
NPI:1942709506
Name:RIMKUS, ALLYSA CHRISTINE (DC)
Entity Type:Individual
Prefix:DR
First Name:ALLYSA
Middle Name:CHRISTINE
Last Name:RIMKUS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 VALLEY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:EDWARDSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62025-3304
Mailing Address - Country:US
Mailing Address - Phone:618-210-3434
Mailing Address - Fax:
Practice Address - Street 1:746 E WINCHESTER ST STE G10
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-8532
Practice Address - Country:US
Practice Address - Phone:801-281-1688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-08
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10618375-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor