Provider Demographics
NPI:1770462921
Name:MOHRFELD, RYNE DAVID (ATC, LAT)
Entity type:Individual
Prefix:
First Name:RYNE
Middle Name:DAVID
Last Name:MOHRFELD
Suffix:
Gender:M
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 E 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:LISBON
Mailing Address - State:IA
Mailing Address - Zip Code:52253-9778
Mailing Address - Country:US
Mailing Address - Phone:319-440-0375
Mailing Address - Fax:
Practice Address - Street 1:1330 ELMHURST DR NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-4797
Practice Address - Country:US
Practice Address - Phone:319-440-0375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1343312255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer