MEDICARE: TIERRA LIN KASTNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	PTA4508	AR
2	225200000X	Physical Therapy Assistant	PTA28101	MA

General Provider Information

NPI Number	:	1982536371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIERRA LIN KASTNER

Provider Business Mailing Address
First Line	:	300 COUNTY ROAD 371
Second Line	:
City	:	BONO
State	:	AR
Zip	:	72416-7643
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	73 CHESTNUT ST
Second Line	:
City	:	SAUGUS
State	:	MA
Zip	:	01906-1605
Country	:	US
Telephone Number	:	781-233-8123
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “ TIERRA LIN KASTNER ” Practice Location

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