Casey Braendle
Physical Therapist in Portsmouth, OH. Individual provider (NPI-1).
NPI number1477979110
StatusActive
Last updated in NPPESFeb 10, 2017
Details
- NPI
- 1477979110
- Entity type
- Individual (NPI-1)
- Name
- Casey Braendle
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 5, 2014
- Last updated
- Feb 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT015380 | OH | Yes |
Practice location
1656 Coles BlvdPortsmouth, OH 45662-2632
Phone 740-354-5671 · Fax 740-354-4432
Mailing address
1656 Coles BlvdPortsmouth, OH 45662-2632
Phone 740-354-5671 · Fax 740-354-4432
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