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NPI Code Detail

MEDICARE: CASEY MELVIN OTR/L

MEDICARE: CASEY MELVIN OTR/L
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
1225X00000XOccupational Therapist13-0398NV
2225XM0800XMental Health Occupational Therapist

General Provider Information

NPI Number : 1588086482
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASEY MELVIN OTR/L
Provider Business Mailing Address
First Line : 11091 KILKERRAN CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89141-4356
Country : US
Telephone Number : 702-381-1839
Fax Number :
Provider Business Practice Location Address
First Line : 11091 KILKERRAN CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89141-4356
Country : US
Telephone Number : 702-381-1839
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2014
Last Update Date : 09/24/2025

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Directions to “ CASEY MELVIN OTR/L” Practice Location

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