Individual
KYLE D RASMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1130 N WESTFIELD ST, OSHKOSH, WI 54902-3217
(920) 232-0128
(920) 232-0193
Mailing address
1130 N WESTFIELD ST, OSHKOSH, WI 54902-3217
(920) 232-0128
(920) 232-0193
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1080 19
WI
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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