Provider Demographics
NPI:1164830550
Name:LOEWY, CASEY LEIGH (DC)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:LEIGH
Last Name:LOEWY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-1402
Mailing Address - Country:US
Mailing Address - Phone:845-876-6450
Mailing Address - Fax:
Practice Address - Street 1:13 W MARKET ST
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-1402
Practice Address - Country:US
Practice Address - Phone:845-876-6450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-29
Last Update Date:2023-08-23
Deactivation Date:2023-08-07
Deactivation Code:
Reactivation Date:2023-08-22
Provider Licenses
StateLicense IDTaxonomies
CA32846111N00000X
NYX013702-01111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor