Provider Demographics
NPI:1285114538
Name:RINALDI, ELLI MARIE (DPT)
Entity type:Individual
Prefix:
First Name:ELLI
Middle Name:MARIE
Last Name:RINALDI
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 1:973 MICA DR STE 201
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89705-7258
Mailing Address - Country:US
Mailing Address - Phone:775-392-3689
Mailing Address - Fax:775-783-6191
Practice Address - Street 1:1749 N STEWART ST STE 50
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-2574
Practice Address - Country:US
Practice Address - Phone:775-392-3689
Practice Address - Fax:775-783-6191
Is Sole Proprietor?:No
Enumeration Date:2018-08-16
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3839225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist