Individual
CASSITY J KOLTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1410 N WOODLAWN BLVD STE D, DERBY, KS 67037-2953
(316) 202-0970
(316) 202-0971
Mailing address
200 W DOUGLAS AVE STE 1040, WICHITA, KS 67202-3017
(316) 263-0003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1402234
KS
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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