Most Relevant Information
Provider Data
| NPI Number: | 1003285230 |
| Provider Name: | KATHRYN WESSEL PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 14-02877 |
Most Important Dates
| Enumeration Date: | 09/17/2015 |
| Last Updated: | 03/11/2021 |
Provider Practice Location
1650 COCHRANE CIR
FORT CARSON
CO
809134613
Practice Location Phone/Fax
| Phone: | 7195267120 |
| Fax: |
Provider Mailing Location
6112 CIDER MILL PL
COLORADO SPRINGS
CO
809251418
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |