Individual
DR. CASEY WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2719 LOKER AVE W STE A, CARLSBAD, CA 92010-6679
(760) 918-9200
(760) 918-9203
Mailing address
1084 N. EL CAMINO REAL, B-351, CARLSBAD, CA 92010-1334
(760) 918-9200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
296993
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
296993
CA PHYSICAL THERAPY BOARD
CA
Enumeration date
08/08/2019
Last updated
09/05/2025
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