Provider Demographics
NPI:1861443251
Name:RASMUSSEN, ERIK STEVEN (ATC)
Entity Type:Individual
Prefix:MR
First Name:ERIK
Middle Name:STEVEN
Last Name:RASMUSSEN
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9940 ANTRIM RD
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-9600
Mailing Address - Country:US
Mailing Address - Phone:651-714-5006
Mailing Address - Fax:
Practice Address - Street 1:1901 4TH ST SE
Practice Address - Street 2:3 MARIUCCI ARENA
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-2004
Practice Address - Country:US
Practice Address - Phone:612-626-4499
Practice Address - Fax:612-625-2425
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer