| NPI | 1346023645 |
|---|---|
| Former Name | CASEY NICOLE DEMING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0019448) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT40541) |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2024-11-14 |