Individual
DR. COREY LAYNE RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
675 YELLOWSTONE AVE STE 1, POCATELLO, ID 83201-4511
(208) 254-7626
(208) 232-9168
Mailing address
1940 S BONITO WAY STE 190, MERIDIAN, ID 83642-5618
(208) 287-9420
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
DPT-2070
ID
225100000X
Physical Therapist
Primary
PT-2070
ID
Other
Enumeration date
09/02/2006
Last updated
02/22/2023
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