Provider Demographics
NPI:1255140703
Name:KASTEN, ABIGAIL RENAE (DPT)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:RENAE
Last Name:KASTEN
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2927 E JACKSON BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MO
Mailing Address - Zip Code:63755-2951
Mailing Address - Country:US
Mailing Address - Phone:573-987-5334
Mailing Address - Fax:573-987-5329
Practice Address - Street 1:2927 E JACKSON BLVD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MO
Practice Address - Zip Code:63755-2951
Practice Address - Country:US
Practice Address - Phone:573-987-5334
Practice Address - Fax:573-987-5329
Is Sole Proprietor?:No
Enumeration Date:2024-12-30
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025006366225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist