Provider Demographics
NPI:1235756016
Name:BARTEL, CASEY
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:BARTEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 W RIO SALADO PKWY APT 2014
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-0113
Mailing Address - Country:US
Mailing Address - Phone:732-614-0548
Mailing Address - Fax:
Practice Address - Street 1:601 W RIO SALADO PKWY APT 2014
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-0113
Practice Address - Country:US
Practice Address - Phone:732-614-0548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath