| Doctor Name: | MARISA LYNN RICKENBACH |
| NPI Number: | 1477640894 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSPT |
| License Number: | PT017984 |
| Business Practice Address: | 20261 E Ocotillo Rd Suite 110 Queen Creek, AZ - 852428806 |
| Business Phone Number: | 4806772771 |
| Business Fax Number: | 4806772768 |
| Mailing Address: | 4081 E Santa Fe Ln, GILBERT |
| State: | AZ |
| Postal Code: | 852978034 |
| Phone Number: | 4806564808 |
| Fax Number: | |
| NPI Enumeration Date: | 10/06/2006 |
| NPI Last Update Date: | 06/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT017984 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |