Individual
CASEY A VEDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
847 WESTLAKE DRIVE, MOUNT AIRY, NC 27030-2703
(336) 783-9400
(336) 783-9406
Mailing address
639 W INDEPENDENCE BLVD, MOUNT AIRY, NC 27030-3500
(336) 783-9400
(336) 783-9406
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8944
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196659
BCBSNC
—
05
—
7212439
—
NC
Enumeration date
02/08/2006
Last updated
02/07/2021
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