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General NPI Number Information
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NPI Number | 1962264036
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Entity Type | Individual
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Provider Name | KELLY ANN CASEY PT
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Gender | Female
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Dates
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Enumeration Date | 01/25/2024
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 3623 CROSSINGS DR STE 282
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City | PRESCOTT
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State | AZ
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Zip | 86305-7101
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Country | US
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Telephone | 855-394-2531
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Fax | 928-441-8421
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Provider Business Mailing Address
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Address Line | PO BOX 1398
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City | TOLLESON
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State | AZ
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Zip | 85353-1130
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Country | US
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Telephone | 928-298-5528
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Fax | 928-441-8421
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP027487T
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP048143T
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 9991
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License Number State | OH
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