Individual
LYLE R RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P T
Contact information
Practice address
5497A HIGHWAY 54, OSAGE BEACH, MO 65065-3026
(573) 302-1288
Mailing address
5817 COBBLESTONE DR, OSAGE BEACH, MO 65065-2480
(573) 302-0666
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R1142
MO
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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