Individual
DR. CASEY JACK BASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4347 W NORTHWEST HWY STE 180, DALLAS, TX 75220-3863
(214) 654-0947
Mailing address
14650 LANDMARK BLVD APT 1144, DALLAS, TX 75254-6897
(918) 710-1880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP045107T
TX
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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