Individual
CASEY J BYRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.P.T.
Contact information
Practice address
5242 XERXES AVE S, MINNEAPOLIS, MN 55410-2447
(612) 929-2513
Mailing address
5242 XERXES AVE S, MINNEAPOLIS, MN 55410-2447
(612) 929-2513
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7327
PHYSICAL THERAPY LICENSE
MN
Enumeration date
06/07/2007
Last updated
07/08/2007
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