| Doctor Name: | DR. RYAN TAYLOR RUSHTON |
| NPI Number: | 1013007632 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 4764917-0501 |
| Business Practice Address: | 7495 S State St Midvale, UT - 840472013 |
| Business Phone Number: | 8012139501 |
| Business Fax Number: | |
| Mailing Address: | Po Box 510708, SALT LAKE CITY |
| State: | UT |
| Postal Code: | 841510708 |
| Phone Number: | 8012133900 |
| Fax Number: | 8015853655 |
| NPI Enumeration Date: | 10/13/2006 |
| NPI Last Update Date: | 02/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 4764917-0501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |