Individual
CASEY J STIEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1505 EASTLAND DR BLDG C, BLOOMINGTON, IL 61701
(309) 662-2278
(309) 663-2956
Mailing address
1505 EASTLAND DR BLDG C, BLOOMINGTON, IL 61701-3534
(309) 662-2278
(309) 663-2956
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-018157
IL
225100000X
Physical Therapist
10619
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070-018157
IL LICENSE NO
IL
05
—
898676
—
AZ
Enumeration date
10/14/2010
Last updated
05/29/2018
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