BRENNA RYSDAM


Address: 111 W Telegraph St, Suite 204, Carson City, NV 89703-4266
Phone: 7758857790

BRENNA RYSDAM (NPI# 1912275181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912275181
Entity Type Individual
Full Name BRENNA RYSDAM
Practice Address 111 W Telegraph St
Suite 204
Carson City
NV 89703-4266
Practice Telephone 7758857790
Practice Fax Number 7752277066
Mailing Telephone 7758857790
Mailing Fax Number 7752277066
Enumeration Date 2011-12-02
Last Update Date 2012-03-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225400000X Rehabilitation Practitioner Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 111 W TELEGRAPH ST
SUITE 204
City CARSON CITY
State NV
Zip Code 89703-4266

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235553132 Chris Childers Rehabilitation Practitioner 111 W Telegraph St, Suite 204, Carson City, NV 89703-4266 2014-02-12
1770907602 Serena Garcia Rehabilitation Practitioner 111 W Telegraph St, Suite 204, Carson City, NV 89703-4266 2014-02-12
1225452139 Stephanie Munoz Rehabilitation Practitioner 111 W Telegraph St, Suite 204, Carson City, NV 89703-4266 2014-02-12
1629492889 Lisa Dill Rehabilitation Practitioner 111 W Telegraph St, Suite 204, Carson City, NV 89703-4266 2014-02-08
1366866519 Tara Bottini Rehabilitation Practitioner 111 W Telegraph St, Suite 204, Carson City, NV 89703-4266 2014-02-08
1447687488 Peter G Stephenson Rehabilitation Practitioner 111 W Telegraph St, Suite 204, Carson City, NV 89703-4266 2013-10-04
1982043543 Gia Overturf Rehabilitation Practitioner 111 W Telegraph St, Suite 204, Carson City, NV 89703-4266 2013-06-17
1861766800 Elizabeth A Gerton Rehabilitation Practitioner 111 W Telegraph St, Ste 204, Carson City, NV 89703-4266 2012-03-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487215232 Madison M Gurries Audiologist 1493 Medical Parkway, Carson City, NV 89703 2019-06-24
1609332949 Tsl Skyline Estates, LLC Assisted Living Facility 2705 Mountain St., Carson City, NV 89703 2019-02-12
1790252120 Reno Orthopaedic Clinic Inc. Physical Therapist 1365 Medical Parkway, Carson City, NV 89703 2018-10-24
1265910970 Marvel Dental Carson City, LLC Clinic/Center 410 Fleischmann Way Suite A., Carson City, NV 89703 2018-08-03
1619348489 Nevada Health Centers Inc. Clinic/Center 618 W. Musser Street, Carson City, NV 89703 2015-10-19
1518351089 Christopher Vlasek Family Medicine 412 W John St Ste B, Carson City, NV 89703 2015-03-23
1902215254 Grant Vaughn Davis Behavioral Analyst 1316 Monte Rosa Drive, Carson City, NV 89703 2014-08-11
1437563152 Nina Patynowski Nurse Practitioner 415 W Sofia St, Ste 100, Carson City, NV 89703 2014-06-20
1679853089 Carson Tahoe Physician Clinics Family Medicine 1200 Moutain Street, Suite 220, Carson City, NV 89703 2011-08-17
1790094076 Darlene Parrish Occupational Therapy Assistant 3050 N. Ormsby Bl, Carson City, NV 89703 2010-10-04
Find all providers in zip 89703

Taxonomy Information

Taxonomy Code 225400000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Rehabilitation Practitioner

Taxonomy Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922629963 Melissa Jane Swanson Rehabilitation Practitioner 325 Viola Way, Carson City, NV 89704-9591 2020-04-30
1295239739 Nathaniel J Anderson Rehabilitation Practitioner 504 E Musser St, Carson City, NV 89701-4239 2018-03-20
1487077699 Jessica Merritt Rehabilitation Practitioner 1943 Marian Ave, Carson City, NV 89706-2635 2014-01-23
1275956484 Jennifer Williams Rehabilitation Practitioner 609 Hot Springs Rd Apt 108, Carson City, NV 89706-1648 2014-01-23
1851632194 Skye Swanson Rehabilitation Practitioner 1024 E Fifth St Apt 205, Carson City, NV 89701-5069 2013-03-12
1215291018 Heather Christine Brodie Rehabilitation Practitioner 1919 Beverly Dr, Carson City, NV 89706-2607 2012-06-27
1295096774 Diana Lynn Morgan Rehabilitation Practitioner 2820 Airport Rd, #8, Carson City, NV 89706-1166 2012-05-31
1619240835 Tyler Jobeth Jennings Rehabilitation Practitioner 210 Heidi Cir, Carson City, NV 89701-9514 2012-02-18
1285907485 Maynard A Green Rehabilitation Practitioner 955 Ladera Dr, Carson City, NV 89701-2048 2012-02-17
1427321603 Victoria Rae Crozier Rehabilitation Practitioner 2529 Concord Dr, Carson City, NV 89706-1067 2012-02-17
Find all providers in CARSON CITY

Competitor

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City CARSON CITY
Zip Code 89703

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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