Provider Demographics
NPI:1417652025
Name:KASTEN, COLBY (DC)
Entity Type:Individual
Prefix:DR
First Name:COLBY
Middle Name:
Last Name:KASTEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 MILL ST
Mailing Address - Street 2:
Mailing Address - City:REEDSVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54230-1700
Mailing Address - Country:US
Mailing Address - Phone:920-588-7171
Mailing Address - Fax:
Practice Address - Street 1:106 MILL ST
Practice Address - Street 2:
Practice Address - City:REEDSVILLE
Practice Address - State:WI
Practice Address - Zip Code:54230-1700
Practice Address - Country:US
Practice Address - Phone:920-901-3382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6069-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor