Jeremiah Kastner, PT
Physical Therapist in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1649600792
StatusActive
Last updated in NPPESMay 15, 2014
Details
- NPI
- 1649600792
- Entity type
- Individual (NPI-1)
- Name
- Jeremiah Kastner
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 26, 2013
- Last updated
- May 15, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PTL.0012097 | CO | Yes |
| 225100000X | Physical Therapist | 40QA01342700 | NJ |
Practice location
502 E Pikes Peak AveColorado Springs, CO 80903-3611
Phone 719-473-2958
Mailing address
502 E Pikes Peak AveColorado Springs, CO 80903-3611
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