Individual
MR. CASEY T KOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC
Contact information
Practice address
900 N JOHN R WOODEN DR, WEST LAFAYETTE, IN 47907-2117
(765) 494-3245
Mailing address
1510 W CANDLEWICK LN, WEST LAFAYETTE, IN 47906-7112
(563) 580-9975
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009659A
IN
2255A2300X
Athletic Trainer
36001544A
IN
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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