Individual
KASSANDRA SCHUPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
450 LAUREL ST, DES MOINES, IA 50314-3045
(515) 323-6485
Mailing address
1322 RANDALL PL, DES MOINES, IA 50311-2716
(970) 580-8190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
074011
IA
225100000X
Physical Therapist
11-04789
KS
Other
Enumeration date
06/10/2014
Last updated
07/30/2014
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