Individual
CASEY J KULP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
20255 N LAKE PLEASANT RD STE 102, PEORIA, AZ 85382-9747
(623) 376-8225
Mailing address
20255 N LAKE PLEASANT RD STE 102, PEORIA, AZ 85382-9747
(623) 376-8225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-010365
AZ
Other
Enumeration date
07/21/2011
Last updated
02/14/2019
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