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Individual

CHAD CASEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
3381 KANELL BLVD, POPLAR BLUFF, MO 63901-3060
(573) 785-0761
(573) 785-0031
Mailing address
PO BOX 1064, POPLAR BLUFF, MO 63902-1064
(573) 785-0761
(573) 785-0031

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
118476
MO
225100000X
Physical Therapist
Primary
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
485397608
MO
Enumeration date
04/13/2006
Last updated
03/10/2026
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