Provider Demographics
NPI:1619139276
Name:CLAUSSEN, KASIA ANNA (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:KASIA
Middle Name:ANNA
Last Name:CLAUSSEN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 WINDING HILL RD
Mailing Address - Street 2:APT #618
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-1369
Mailing Address - Country:US
Mailing Address - Phone:563-355-7901
Mailing Address - Fax:
Practice Address - Street 1:1815 WINDING HILL RD
Practice Address - Street 2:APT #618
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-1369
Practice Address - Country:US
Practice Address - Phone:563-355-7901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA004072225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist