Individual
SHANE RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1925 140TH AVE NE, BELLEVUE, WA 98005-2303
(425) 865-8060
Mailing address
1925 140TH AVE NE, BELLEVUE, WA 98005-2303
(425) 865-8060
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60033466
WA
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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