Individual
SHASTA KETCHAMCONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
508 S 1ST AVE, DANVILLE, IA 52623-9609
(319) 750-2799
Mailing address
508 S 1ST AVE, DANVILLE, IA 52623-9609
(319) 750-2799
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
080290
IA
225100000X
Physical Therapist
Primary
1221789
TX
225100000X
Physical Therapist
3843
HI
225100000X
Physical Therapist
871828
DC
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us