Individual
KASIDY KANE LITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
508 STOCKTRAIL AVE STE D, GILLETTE, WY 82716-3582
(307) 688-8000
Mailing address
4707 ALEX WAY, GILLETTE, WY 82718-4103
(970) 778-0511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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