Individual
MR. CASEY WAYNE PARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6320 N. LA CHOLLA BLVD., #200, TUCSON, AZ 85742-3549
(520) 382-8200
(520) 297-3505
Mailing address
2424 N. WYATT DR. #200, CREDENTIALING DEPT., TUCSON, AZ 85712-6118
(520) 784-6200
(520) 784-6109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5363
AZ
2251P0200X
Pediatric Physical Therapist
5363
AZ
2251S0007X
Sports Physical Therapist
5363
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
788101
—
AZ
Enumeration date
08/05/2007
Last updated
04/24/2012
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