| Brent M Rasmussen | |
|
112 N Main St, Ephraim, UT 84627-1104 | |
| (435) 283-5662 | |
| (435) 283-5666 |
| Full Name | Brent M Rasmussen |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 112 N Main St, Ephraim, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265623805 | NPI | - | NPPES |
| 107043750101 | Other | UT | INTERMOUNTAIN HEALTHCARE |
| 93822 | Other | UT | PUBLIC EMPLOYEES HEALTH P |
| 1023166386 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4931765-2401 (Utah) | Primary |
| Provider Name | Brent M Rasmussen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023166386 PECOS PAC ID: 3375634769 Enrollment ID: I20070815000012 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent M Rasmussen 112 N Main St, Ephraim, UT 84627-1104 Ph: (435) 283-5662 | Brent M Rasmussen 112 N Main St, Ephraim, UT 84627-1104 Ph: (435) 283-5662 |
Dr. Brent M. Rasmussen, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 112 N Main St, Ephraim, UT 84627 Phone: 435-283-5662 Fax: 435-283-5666 | |
Cory Cox, Physical Therapist Medicare: Medicare Enrolled Practice Location: 59 W 700 S, Ephraim, UT 84627 Phone: 435-274-3531 Fax: 435-274-3512 | |
Mr. Rhodri L Purcell, PT, MPT, OCS, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 112 N Main St, Ephraim, UT 84627 Phone: 435-283-5662 | |
Joseph E Howe, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 59 W 700 S, Ephraim, UT 84627 Phone: 435-283-6334 Fax: 435-528-7000 |