Individual
CASADY JO DEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 485-3100
Mailing address
511 S SUSAN AVE, WAGONER, OK 74467-4840
(918) 774-7475
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6167
OK
225100000X
Physical Therapist
—
—
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/08/2022
Last updated
06/09/2022
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