| Doctor Name: | KASSANDRA SCHUPPE |
| NPI Number: | 1346653060 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT |
| License Number: | 11-04789 |
| Business Practice Address: | 450 Laurel St Des Moines, IA - 503143045 |
| Business Phone Number: | 5153236485 |
| Business Fax Number: | |
| Mailing Address: | 1322 Randall Pl, DES MOINES |
| State: | IA |
| Postal Code: | 503112716 |
| Phone Number: | 9705808190 |
| Fax Number: | |
| NPI Enumeration Date: | 06/10/2014 |
| NPI Last Update Date: | 07/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 11-04789 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |