Individual
MRS. SHANNON LEA KASTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
440 WELLS ST, SUITE 200, DELAFIELD, WI 53018-1409
(479) 201-2844
Mailing address
440 WELLS ST, SUITE200, DELAFIELD, WI 53018-1409
(479) 201-2844
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1211-019
WI
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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