Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 10586 | CO |
NPI | 1073724001 |
---|---|
Provider Name | Dr. Christopher J. Kaster |
First Address | Colorado Springs, CO 80918-4067 |
Second Address | Colorado Springs, CO 80918-4067 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 03/10/2011 |