Casey Ketelsen, DPT

NPI #1093971152 in Spring Grove, Illinois

Provider Information

NPI Number: 1093971152
Entity Type: Individual
Name: Casey Ketelsen, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jul 29, 2008
Last Updated: Jul 29, 2008

Practice Location

Address: 2900 N US HIGHWAY 12 STE J
City: Spring Grove
State: Illinois
ZIP Code: 60081-8322
Phone: (815) 675-0699

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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