Healthcare Provider Details

I. General information

NPI: 1639662380
Provider Name (Legal Business Name): CASEY EMIGH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CASEY FREEMAN MD

II. Dates (important events)

Enumeration Date: 06/07/2018
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 BATTLECREEK DR UNIT A
FORT COLLINS CO
80528-5120
US

IV. Provider business mailing address

PO BOX 214
TIMNATH CO
80547-0214
US

V. Phone/Fax

Practice location:
  • Phone: 970-682-3516
  • Fax: 949-773-4869
Mailing address:
  • Phone: 970-682-3516
  • Fax: 949-773-4869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberDR.0068149
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: