# REBEL FOOT & ANKLE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689499436
- **Authorized official:** DR. RYAN KITTERMAN DPM (DPM)
- **Authorized official phone:** (256) 292-7511

## Contact information

- **Practice address:** 1601 VETERANS DR STE 112, SCOTTSBORO, AL 35769-3743
- **Practice address phone:** (256) 292-7511
- **Practice address fax:** (855) 576-3609
- **Mailing address:** 1601 VETERANS DR STE 112, SCOTTSBORO, AL 35769-3743
- **Mailing address phone:** (256) 292-7511
- **Mailing address fax:** (855) 576-3609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 11/18/2024
- **Last updated:** 08/05/2026