Provider Demographics
NPI:1710076906
Name:RASSFELD, TORREY BRETT (DPM)
Entity Type:Individual
Prefix:DR
First Name:TORREY
Middle Name:BRETT
Last Name:RASSFELD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2627 STOCKWELL ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-5755
Mailing Address - Country:US
Mailing Address - Phone:402-405-5924
Mailing Address - Fax:
Practice Address - Street 1:2627 STOCKWELL ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-5755
Practice Address - Country:US
Practice Address - Phone:402-405-5924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE271213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47083655807Medicaid
NE271906RAMedicare ID - Type Unspecified
NE0455960001Medicare NSC
NE47083655807Medicaid