Provider Demographics
NPI:1588083737
Name:RYMER, JOSHUA DAVID (PT,DPT,CLT)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:DAVID
Last Name:RYMER
Suffix:
Gender:M
Credentials:PT,DPT,CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1779 W 910 S
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84663-3545
Mailing Address - Country:US
Mailing Address - Phone:801-380-7163
Mailing Address - Fax:
Practice Address - Street 1:524 W 300 N
Practice Address - Street 2:201
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84601-2667
Practice Address - Country:US
Practice Address - Phone:801-370-9981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8507745-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist