Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | C3707 | KS |
N | 111NX0800X | Chiropractor Orthopedic Specialist | C3707 | KS |
NPI | 1093714198 |
---|---|
Provider Name | Dr. Stephanie A Rasmussen |
First Address | Prairie Village, KS 66208-3501 |
Second Address | Prairie Village, KS 66208-3501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T42331 | (02) | KS |