Organization
CLS REGEN, PLLC
Active
Other names
QC Kinetix, WTCS Regen, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY LEVI SIETSEMA PA-C (OFFICER)
(616) 283-8785
Entity
Organization
Contact information
Practice address
18707 HARDY OAK BLVD STE 445, SAN ANTONIO, TX 78258-4841
(616) 283-8785
(512) 975-2005
Mailing address
39 THRUSH GROVE PL, SPRING, TX 77381-4042
(616) 283-8785
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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