Provider Demographics
NPI:1861417867
Name:RIZZO, ROBYN LYNETTE (DC)
Entity type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:LYNETTE
Last Name:RIZZO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:LYNETTE
Other - Last Name:BALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:961 N ARVADA
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205-5472
Mailing Address - Country:US
Mailing Address - Phone:480-350-7546
Mailing Address - Fax:480-350-7546
Practice Address - Street 1:2040 E BELL RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-2963
Practice Address - Country:US
Practice Address - Phone:602-992-5064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7274111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor