Most Relevant Information
Provider Data
| NPI Number: | 1003051400 |
| Provider Name: | KIM RUBY RASMUSSEN PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/14/2008 |
| Last Updated: | 12/14/2008 |
Provider Practice Location
3625 E B ST
TACOMA
WA
984041524
Practice Location Phone/Fax
| Phone: | 2536708336 |
| Fax: |
Provider Mailing Location
23603 130TH AVE SE
KENT
WA
980313653
Provider Mailing Phone/Fax
| Phone: | 2536316693 |
| Fax: |