Shasta Ketchamconnelly, DPT - Physical Therapist in Danville, IA

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Shasta Ketchamconnelly, DPT is a Physical Therapist based in Danville, Iowa. Shasta Ketchamconnelly is licensed to practice in Texas (license number 1221789) and her current practice location is 508 S 1st Ave, Danville, Iowa. She can be reached at her office (for appointments etc.) via phone at (319) 750-2799.

NPI number for Shasta Ketchamconnelly is 1104276120 and her current mailing address is 508 S 1st Ave, Danville, Iowa. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104276120.

Contact Information

Shasta Ketchamconnelly, DPT
508 S 1st Ave,
Danville, IA 52623-9609
(319) 750-2799
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShasta Ketchamconnelly
GenderFemale
SpecialityPhysical Therapist
Location508 S 1st Ave, Danville, Iowa
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104276120
  • Provider Enumeration Date: 06/21/2016
  • Last Update Date: 06/21/2016

Medical Identifiers

Medical identifiers for Shasta Ketchamconnelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104276120NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 1221789 (Texas)Primary
225100000XPhysical Therapist 3843 (Hawaii)Secondary
225100000XPhysical Therapist 871828 (District Of Columbia)Secondary
225100000XPhysical Therapist 080290 (Iowa)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shasta Ketchamconnelly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shasta Ketchamconnelly, DPT
508 S 1st Ave,
Danville, IA 52623-9609

Ph: (319) 750-2799		Shasta Ketchamconnelly, DPT
508 S 1st Ave,
Danville, IA 52623-9609

Ph: (319) 750-2799

Reviews and Comments


Physical Therapist in Danville, IA


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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