Individual
KENNETH EDWARD RASNAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
803 S MAIN ST, WOODSTOCK, VA 22664-1125
(540) 459-5676
Mailing address
1548 ROBINDALE RD, NORTH CHESTERFIELD, VA 23235-4534
(804) 514-2633
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603671
VA
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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