Organization
AT HOME FOOTCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN T RUSHTON DPM (PRESIDENT)
(801) 497-0420
Entity
Organization
Contact information
Practice address
53 E 950 S, KAYSVILLE, UT 84037-2837
(801) 497-0420
Mailing address
53 E 950 S, KAYSVILLE, UT 84037-2837
(801) 497-0420
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
47649170501
UT
Other
Enumeration date
12/29/2006
Last updated
10/29/2007
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