Individual
KELSEY LEEANN KASTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 N FARMINGTON RD, JACKSON, MO 63755-1246
(057) 327-5508
Mailing address
430 N FARMINGTON RD, JACKSON, MO 63755-1246
(573) 275-5081
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2021002432
MO
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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