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NPI Code Detail

MEDICARE: KYLE RASMUSSEN

MEDICARE: KYLE RASMUSSEN
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1386283802
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE RASMUSSEN
Provider Business Mailing Address
First Line : 100 HOLLAND GLN
Second Line :
City : ESCONDIDO
State : CA
Zip : 92026-1354
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 HOLLAND GLN
Second Line :
City : ESCONDIDO
State : CA
Zip : 92026-1354
Country : US
Telephone Number : 760-294-3514
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/01/2020
Last Update Date : 01/01/2020

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Directions to “ KYLE RASMUSSEN ” Practice Location

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