Individual
JEREMIAH KASTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
502 E PIKES PEAK AVE, COLORADO SPRINGS, CO 80903-3611
(719) 473-2958
Mailing address
502 E PIKES PEAK AVE, COLORADO SPRINGS, CO 80903-3611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA01342700
NJ
225100000X
Physical Therapist
Primary
PTL.0012097
CO
Other
Enumeration date
11/26/2013
Last updated
05/15/2014
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