Healthcare Provider Details

I. General information

NPI: 1093739476
Provider Name (Legal Business Name): BRENDA CASEY D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17795 W 106TH ST STE 200
OLATHE KS
66061-3155
US

IV. Provider business mailing address

17795 W 106TH ST STE 200
OLATHE KS
66061-3155
US

V. Phone/Fax

Practice location:
  • Phone: 913-359-3880
  • Fax: 913-276-1339
Mailing address:
  • Phone: 913-359-3880
  • Fax: 913-276-1339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104379
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: