Individual
MS. REBECCA M KASTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
224 ELLIS ST., KEWAUNEE, WI 54216
(920) 388-0285
Mailing address
224 ELLIS ST., KEWAUNEE, WI 54216
(920) 388-0285
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12309-146
WI
225700000X
Massage Therapist
1289871AMTA
—
225700000X
Massage Therapist
622934-12NC8TMB
—
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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