Individual
JESSICA KASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2310 CALIFORNIA RD, ELKHART, IN 46514-1228
(574) 264-0791
(574) 262-9650
Mailing address
2310 CALIFORNIA RD, ELKHART, IN 46514-1228
(574) 264-0791
(574) 262-9650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011554A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201248950
—
IN
Enumeration date
08/28/2014
Last updated
10/08/2014
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