Healthcare Provider Details

I. General information

NPI: 1093714198
Provider Name (Legal Business Name): STEPHANIE A RASMUSSEN D.C., FICS, DABCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 W 75TH ST SUITE 210
PRAIRIE VILLAGE KS
66208-3501
US

IV. Provider business mailing address

1900 W 75TH ST SUITE 210
PRAIRIE VILLAGE KS
66208-3501
US

V. Phone/Fax

Practice location:
  • Phone: 913-677-4224
  • Fax: 913-677-4225
Mailing address:
  • Phone: 913-677-4224
  • Fax: 913-677-4225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number01-03707
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: