Shasta Ketchamconnelly, DPT

Individual provider Physical Therapist · NPI 1104276120

Shasta Ketchamconnelly, DPT is a Physical Therapist in Danville, Iowa. Licensed in District of Columbia, Hawaii, Iowa and Texas. Registered with an NPI since 2016.

Licensed in: DC, HI, IA, TX
In the registry since: 2016
Specialties on file: 4

What do these letters mean?

DPT — Doctor of Physical Therapy: The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

508 S 1st Ave
Danville, IA 52623-9609
Phone: (319) 750-2799

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

Specialties & licences

Physical Therapist (primary)	Taxonomy 225100000X · Licence 1221789 (TX)
Physical Therapist	Taxonomy 225100000X · Licence 3843 (HI)
Physical Therapist	Taxonomy 225100000X · Licence 871828 (DC)
Physical Therapist	Taxonomy 225100000X · Licence 080290 (IA)

Record details

NPI number	1104276120
Entity type	Individual (Type 1)
Gender	Female
Credentials	DPT
Sole proprietor	No
NPI enumerated	June 21, 2016
Last updated in NPPES	June 21, 2016