Provider Demographics
NPI:1205263225
Name:KASTER, JAIMIE (HIS)
Entity type:Individual
Prefix:
First Name:JAIMIE
Middle Name:
Last Name:KASTER
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 S ANDERSON ST
Mailing Address - Street 2:
Mailing Address - City:RHINELANDER
Mailing Address - State:WI
Mailing Address - Zip Code:54501-3448
Mailing Address - Country:US
Mailing Address - Phone:715-550-0707
Mailing Address - Fax:
Practice Address - Street 1:181 S ANDERSON ST
Practice Address - Street 2:
Practice Address - City:RHINELANDER
Practice Address - State:WI
Practice Address - Zip Code:54501-3448
Practice Address - Country:US
Practice Address - Phone:715-362-3711
Practice Address - Fax:715-420-1686
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-04
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1390-060237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist