Individual
CASEY KETELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2900 N US HIGHWAY 12 STE J, SPRING GROVE, IL 60081-8322
(815) 675-0699
(815) 675-0689
Mailing address
PO BOX 362, 2900 US HIGHWAY 12 SUITE J, SPRING GROVE, IL 60081-0362
(815) 675-0699
(815) 675-0689
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070016508
IL
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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