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NPI Code Detail

MEDICARE: DR. BRENT M. RASMUSSEN PT, DPT

MEDICARE:  DR. BRENT M. RASMUSSEN  PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical Therapist4931765-2401UT

General Provider Information

NPI Number : 1023166386
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRENT M. RASMUSSEN PT, DPT
Provider Business Mailing Address
First Line : 112 N MAIN ST
Second Line :
City : EPHRAIM
State : UT
Zip : 84627-1104
Country : US
Telephone Number : 435-283-5662
Fax Number : 435-283-5666
Provider Business Practice Location Address
First Line : 112 N MAIN ST
Second Line :
City : EPHRAIM
State : UT
Zip : 84627-1104
Country : US
Telephone Number : 435-283-5662
Fax Number : 435-283-5666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2007
Last Update Date : 10/05/2022

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Directions to “ DR. BRENT M. RASMUSSEN PT, DPT” Practice Location

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