Provider Demographics
NPI:1447764311
Name:KASTEN, ABBIE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ABBIE
Middle Name:
Last Name:KASTEN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ABBIE
Other - Middle Name:
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1720 S CLIFF AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-2129
Mailing Address - Country:US
Mailing Address - Phone:605-334-5630
Mailing Address - Fax:605-332-5327
Practice Address - Street 1:725 E KEVIN DR
Practice Address - Street 2:
Practice Address - City:TEA
Practice Address - State:SD
Practice Address - Zip Code:57064-2070
Practice Address - Country:US
Practice Address - Phone:605-368-9897
Practice Address - Fax:605-213-0175
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-29
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1768225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist