Provider Demographics
NPI:1376133074
Name:GETZ, CASEY ZEA
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:ZEA
Last Name:GETZ
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 1:22 DARIC CIR
Mailing Address - Street 2:
Mailing Address - City:FORT ASHBY
Mailing Address - State:WV
Mailing Address - Zip Code:26719-7179
Mailing Address - Country:US
Mailing Address - Phone:301-697-7608
Mailing Address - Fax:
Practice Address - Street 1:22 DARIC CIR
Practice Address - Street 2:
Practice Address - City:FORT ASHBY
Practice Address - State:WV
Practice Address - Zip Code:26719-7179
Practice Address - Country:US
Practice Address - Phone:301-697-7608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant