Alexander Kastner

Individual provider Active NPI Physical Therapy Assistant · Shelby, MT

NPI 1477317840 · NPPES record last updated Feb 7, 2024

Key facts

NPI
1477317840
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTP-PTA-LIC-27302 (MT)
Practice address
640 Park Ave
Shelby, MT 59474-1663
Phone
(406) 434-3234
NPI assigned
Feb 7, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PTP-PTA-LIC-27302MTMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTP-PTA-LIC-27302 MT Yes

Addresses

Primary practice location

640 Park Ave
Shelby, MT 59474-1663

Mailing address

807 4TH Ave SW
Conrad, MT 59425-1912
Phone (406) 505-0008

Other providers in Shelby, MT

All providers in Shelby, MT · Physical Therapy Assistant in Montana

Sources for this page

Verify at the official NPI Registry.