Individual
CASEY E MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13731-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295259661
—
WI
Enumeration date
07/27/2017
Last updated
12/28/2020
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