Individual
KASSIDY D WACHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 W MAIN STREET, PIERCE, NE 68767
(402) 329-6228
Mailing address
307 S LEWIS ST, PIERCE, NE 68767-1405
(308) 750-5923
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
951
NE
Other
Enumeration date
01/04/2012
Last updated
09/26/2014
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