| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SAMANTHA RASMUSSEN | 1790182749 | 2024-05-12 |
Samantha Rasmussen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1790182749. Registration indicates Samantha Rasmussen is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Physical Therapy, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Clinic/Center Physical Therapy, Ambulatory Health Care Facilities) (Clinic/Center, ) (Allopathic & Osteopathic Physicians, Physical Medicine & Rehabilitation) (Physical Medicine & Rehabilitation: Sports Medicine, ) (Specialist Network, ) (Physical Medicine & Rehabilitation Sports Medicine, Allopathic & Osteopathic Physicians) (Physical Medicine & Rehabilitation, )
| Entity Type | Individual |
| Provider Name | Samantha Rasmussen PT, DPT, ATC |
| Practice Office Address | 2500 W FABYAN PKWY BATAVIA, IL US |
| Practice Office Telephone | 6303649158 |
| Mailing Address | 2500 W FABYAN PKWY BATAVIA, IL 605101572 US |
| Code | Practice | License No State |
|---|---|---|
| 261QP2000X | Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Physical Therapy Speech/Occupational/Physical Therapy/Chiropractor Clinic/Center Physical Therapy Ambulatory Health Care Facilities Clinic/Center | |
| 2081S0010X PRIMARY | Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation: Sports Medicine Specialist Network Physical Medicine & Rehabilitation Sports Medicine Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation | 096003617
IL |