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Individual

KELSEY E HASTINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
13336 INDUSTRIAL RD, SUITE 105, OMAHA, NE 68137-1124
(402) 330-3211
(402) 330-5970
Mailing address
1200 PLEASANT STREET, SOUTH 2 ROOM 236, DES MOINES, IA 50309-1406
(515) 241-6228
(515) 241-8685

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
078038
IA
225100000X
Physical Therapist
3520
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1932576907
IA
05
47065477701
NE
Enumeration date
08/26/2015
Last updated
12/03/2018
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