Provider Demographics
NPI:1437751823
Name:RASMUSSEN, AMANDA LEE (PT, DPT)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:LEE
Last Name:RASMUSSEN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:LEE
Other - Last Name:TRUMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:35 BILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46151-3354
Mailing Address - Country:US
Mailing Address - Phone:765-349-9678
Mailing Address - Fax:
Practice Address - Street 1:35 BILLS BLVD
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46151-3354
Practice Address - Country:US
Practice Address - Phone:967-876-5349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-11
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05013996A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist