Kassidy D Kasperski, DC
Chiropractor in South Portland, ME. Individual provider (NPI-1).
NPI number1164037602
StatusActive
Last updated in NPPESSep 11, 2020
Details
- NPI
- 1164037602
- Entity type
- Individual (NPI-1)
- Name
- Kassidy D Kasperski
- Credential
- DC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2020
- Certification date
- Sep 11, 2020
- Last updated
- Sep 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CR2674 | ME | Yes |
Practice location
210 Western AveSouth Portland, ME 04106-2424
Phone 207-775-7468
Mailing address
210 Western AveSouth Portland, ME 04106-2424
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