Healthcare Provider Details

I. General information

NPI: 1609702620
Provider Name (Legal Business Name): CASEY M VANNETT PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1231 N 27TH ST STE 1
BILLINGS MT
59101-0106
US

IV. Provider business mailing address

PO BOX 5718
KALISPELL MT
59903-5718
US

V. Phone/Fax

Practice location:
  • Phone: 406-969-2518
  • Fax: 406-969-2520
Mailing address:
  • Phone: 406-756-0134
  • Fax: 406-309-2579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPRD-PT-LIC-31718
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: