Individual provider · Type 1 NPI

Kacey Foster

Rehabilitation Practitioner · San Andreas, CA

NPI number 1700506839 Active

Practice location

20 E St. Charles St
San Andreas, CA 95249-9713

Call (209) 754-6602 Map

Mailing address

891 Mountain Ranch Rd Bldg L
San Andreas, CA 95249-9713

Specialties and licenses

TaxonomyCodeLicense
Supports Brokerage Agency 251X00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1700506839

Kacey Foster's National Provider Identifier is 1700506839, issued on Aug 30, 2022. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Andreas, CA. The record was last updated on Sep 28, 2026.