CASEY KETELSEN

SPRING GROVE, IL
NPI1093971152
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070016508)
Enumeration Date2008-07-29
Last Update Date2008-07-29
Business Address
-- CASEY KETELSEN DPT
2900 N US HIGHWAY 12 STE J
SPRING GROVE, IL 60081-8322
Phone number: 815-675-0699
Mailing Address
-- CASEY KETELSEN DPT
PO BOX 362 2900 US HIGHWAY 12 SUITE J
SPRING GROVE, IL 60081-0362
Phone number: 815-675-0699
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