Individual
CAROLYN CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 ANGELVIEW CIR, SALIDA, CO 81201-1898
(719) 221-1904
Mailing address
1330 ANGELVIEW CIR, SALIDA, CO 81201-1898
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
8963
CO
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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