Individual
CASEY WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC, LAT
Contact information
Practice address
2300 S 1ST ST, CHAMPAIGN, IL 61820-7661
(765) 230-0709
Mailing address
3792 N 75 W, CAYUGA, IN 47928-8114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05014365A
IN
225100000X
Physical Therapist
Primary
070026467
IL
2255A2300X
Athletic Trainer
096005472
IL
2255A2300X
Athletic Trainer
36002713A
IN
Other
Enumeration date
03/31/2015
Last updated
08/21/2023
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