Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaden Ray Hersel

Individual provider Athletic Trainer · NPI 1467006544

Kaden Ray Hersel is a Physical Therapist in Private Practice in Wenatchee, Washington. Qualified in 2024, 2 years ago. Practices with Pro Sport Physical Therapy, LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
2
Licensed in
WA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1100 Vista Pl Apt Q
Wenatchee, WA 98801-4206
Phone: (509) 741-7283
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT61599533 (WA)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1467006544
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 28, 2019
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024
Mailing address2115 Ne Westwood Dr Apt D, Pullman, WA 99163-5384

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Pro Sport Physical Therapy, Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wenatchee