Individual
TERESA A RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
1579 TAZEWELL RD, TAZEWELL, TN 37879-3607
(423) 259-3955
(877) 358-9236
Mailing address
1579 TAZEWELL RD, TAZEWELL, TN 37879-3607
(423) 259-3955
(877) 358-9236
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0719
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3340196
—
TN
05
—
441877
—
TN
Enumeration date
11/08/2005
Last updated
06/03/2025
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