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NPI Code Detail

MEDICARE: CASEY LYNNE

MEDICARE:   CASEY  LYNNE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374J00000XDoula
2225700000XMassage TherapistMT140347TX

General Provider Information

NPI Number : 1558632992
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASEY LYNNE
Provider Business Mailing Address
First Line : 1326 WARRINGTON DR
Second Line :
City : AUSTIN
State : TX
Zip : 78753-4448
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1326 WARRINGTON DR
Second Line :
City : AUSTIN
State : TX
Zip : 78753-4448
Country : US
Telephone Number : 737-222-9861
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2012
Last Update Date : 07/03/2025

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Directions to “ CASEY LYNNE ” Practice Location

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