NPI 1184360984
Kacy Gast
Practice location
- Address
- 2505 E Jefferson Blvd, South Bend, IN 46615-2635
- Phone
- (574) 289-4831
- Mailing address
- 1319 Viking Dr, South Bend, IN 46628-3838
Registered specialties
Developmental Therapist
Primary
Registry record
- NPI
- 1184360984
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 May 2022
- Record last updated
- 5 May 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.