Individual
NICHOLAS RYAN CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
Mailing address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05015068A
IN
2251X0800X
Orthopedic Physical Therapist
Primary
05015068A
IN
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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