Healthcare Provider Details

I. General information

NPI: 1710076906
Provider Name (Legal Business Name): TORREY BRETT RASSFELD D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 12/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2627 STOCKWELL ST
LINCOLN NE
68502-5755
US

IV. Provider business mailing address

2627 STOCKWELL ST
LINCOLN NE
68502-5755
US

V. Phone/Fax

Practice location:
  • Phone: 402-405-5924
  • Fax:
Mailing address:
  • Phone: 402-405-5924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number271
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: