Provider Demographics
NPI:1669968848
Name:RUBINO, RHIANNAN KAY (PT, DPT, CMTPT/DN)
Entity type:Individual
Prefix:
First Name:RHIANNAN
Middle Name:KAY
Last Name:RUBINO
Suffix:
Gender:F
Credentials:PT, DPT, CMTPT/DN
Other - Prefix:
Other - First Name:RHIANNAN
Other - Middle Name:KAY
Other - Last Name:MARSHALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8 PHANTOM RD
Mailing Address - Street 2:
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82072-8909
Mailing Address - Country:US
Mailing Address - Phone:307-399-7233
Mailing Address - Fax:
Practice Address - Street 1:214 ORD ST
Practice Address - Street 2:
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82070-4403
Practice Address - Country:US
Practice Address - Phone:307-399-7233
Practice Address - Fax:307-263-7535
Is Sole Proprietor?:No
Enumeration Date:2018-07-10
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPT-1790225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist