Provider Demographics
NPI:1477824381
Name:VOEHL, CASEY RANDALL (DC)
Entity Type:Individual
Prefix:DR
First Name:CASEY
Middle Name:RANDALL
Last Name:VOEHL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 6TH AVE SE
Mailing Address - Street 2:STE 2
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-5070
Mailing Address - Country:US
Mailing Address - Phone:605-228-4113
Mailing Address - Fax:
Practice Address - Street 1:1601 6TH AVE SE
Practice Address - Street 2:SUITE 2
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-5060
Practice Address - Country:US
Practice Address - Phone:605-725-2233
Practice Address - Fax:605-725-2234
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-24
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1219111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor