Provider Demographics
NPI:1407198708
Name:EUTSLER, CASEY R (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:CASEY
Middle Name:R
Last Name:EUTSLER
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:MRS
Other - First Name:CASEY
Other - Middle Name:R
Other - Last Name:EUTSLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:211 WEST MATTHEWS ST.
Mailing Address - Street 2:SUITE 106
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105
Mailing Address - Country:US
Mailing Address - Phone:980-245-2340
Mailing Address - Fax:980-245-2333
Practice Address - Street 1:211 WEST MATTHEWS ST.
Practice Address - Street 2:SUITE 106
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105
Practice Address - Country:US
Practice Address - Phone:980-245-2340
Practice Address - Fax:980-245-2333
Is Sole Proprietor?:No
Enumeration Date:2013-03-25
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8652225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics