Provider Demographics
NPI:1205114790
Name:RYMER, ELIZABETH T (DPT)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:T
Last Name:RYMER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 18066
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35804-8066
Mailing Address - Country:US
Mailing Address - Phone:256-319-6515
Mailing Address - Fax:256-319-6516
Practice Address - Street 1:927 FRANKLIN STREET SUITE 100
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801
Practice Address - Country:US
Practice Address - Phone:256-535-9033
Practice Address - Fax:256-535-9032
Is Sole Proprietor?:No
Enumeration Date:2011-08-01
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH6194225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALCH5587OtherRAILROAD MEDICARE
AL529906520Medicaid
AL1508947839OtherGROUP NPI
AL529906520Medicaid