Individual
MRS. COLLEEN ANN RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1095818
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058667905
—
TX
01
—
1095818
P.T. LICENSE
TX
01
—
874T14
BC/BS PROVIDER #
TX
01
—
P00782884
RAILROAD MEDICARE #
TX
01
—
PO1194044
RAILROAD MEDICARE #
TX
Enumeration date
11/29/2006
Last updated
09/05/2013
Update your record
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