Individual
JEDIDIAH DONALD KASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
824 S SHERIDAN ST, FERGUS FALLS, MN 56537-3022
(218) 998-7300
Mailing address
1823 YALE DR, LOUISVILLE, KY 40205-2030
(502) 648-7369
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03826
KY
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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