Individual
RYAN JAMES RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MK, RCEP, CCT
Contact information
Practice address
9976 W EMERALD ST, BOISE, ID 83704-9769
(208) 229-3742
Mailing address
8278 W LIMELIGHT ST APT 306, BOISE, ID 83714-6199
(208) 901-5666
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
1055541
ID
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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