Provider Demographics
NPI:1265511976
Name:CARTWRIGHT, KASEY LYNN (PT)
Entity Type:Individual
Prefix:
First Name:KASEY
Middle Name:LYNN
Last Name:CARTWRIGHT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1114 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37160-2310
Mailing Address - Country:US
Mailing Address - Phone:931-684-0027
Mailing Address - Fax:931-684-0112
Practice Address - Street 1:1114 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37160-2310
Practice Address - Country:US
Practice Address - Phone:931-684-0027
Practice Address - Fax:931-684-0112
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5330225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4125070OtherBLUE CROSS BLUE SHIELD
TN4017333OtherBLUE CROSS BLUE SHIELD
TN4017333OtherBLUE CROSS BLUE SHIELD