# RYSEUP REHAB LIMITED LIABILITY COMPANY

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

## Provider details

- **NPI number:** 1699470609
- **Authorized official:** MR. CODY SHAWN YOUNG (CFO)
- **Authorized official phone:** (801) 449-0253

## Contact information

- **Practice address:** 2230 N UNIVERSITY PKWY, BLDG 5, STE B, PROVO, UT 84604
- **Practice address phone:** (801) 449-0253
- **Mailing address:** 2230 N UNIVERSITY PKWY, BLDG 5, STE B, PROVO, UT 84604
- **Mailing address phone:** (801) 449-0253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2023
- **Last updated:** 03/31/2023
