Individual
CASEY DOYLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
413 W BREMER AVE, WAVERLY, IA 50677-3145
(319) 352-0102
(319) 352-0104
Mailing address
413 W BREMER AVE, WAVERLY, IA 50677-3145
(319) 352-0102
(319) 352-0104
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03680
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0289942
—
IA
01
—
18718
BC/BS
IA
Enumeration date
02/01/2006
Last updated
07/08/2007
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