Healthcare Provider Details

I. General information

NPI: 1356536114
Provider Name (Legal Business Name): RASMUSSEN CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2007
Last Update Date: 08/22/2024
Certification Date: 08/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2652 CHARLESTOWN RD
NEW ALBANY IN
47150-2538
US

IV. Provider business mailing address

2652 CHARLESTOWN RD
NEW ALBANY IN
47150-2538
US

V. Phone/Fax

Practice location:
  • Phone: 812-841-0333
  • Fax:
Mailing address:
  • Phone: 812-949-2273
  • Fax: 812-941-3110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHERRY S. RASMUSSEN
Title or Position: ADMINISTRATIVE ASSISTANT
Credential:
Phone: 812-949-2273