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
1	374J00000X	Doula
2	225700000X	Massage Therapist	MT140347	TX

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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