Provider Demographics
NPI:1366141053
Name:KURTH, KASEY MARIE (PT)
Entity type:Individual
Prefix:
First Name:KASEY
Middle Name:MARIE
Last Name:KURTH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KASEY
Other - Middle Name:MARIE
Other - Last Name:PINCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:312 N 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOREB
Mailing Address - State:WI
Mailing Address - Zip Code:53572-1891
Mailing Address - Country:US
Mailing Address - Phone:920-209-7957
Mailing Address - Fax:
Practice Address - Street 1:200 W ALONA LN
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:WI
Practice Address - Zip Code:53813-2202
Practice Address - Country:US
Practice Address - Phone:608-745-6420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-01
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16228-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist