Provider Demographics
NPI:1518333954
Name:CASEY, CARYCE (DPT)
Entity Type:Individual
Prefix:
First Name:CARYCE
Middle Name:
Last Name:CASEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:CARYCE
Other - Middle Name:
Other - Last Name:MORELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:243 ELM ST
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743-4999
Mailing Address - Country:US
Mailing Address - Phone:603-542-1878
Mailing Address - Fax:603-542-1813
Practice Address - Street 1:17 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:NH
Practice Address - Zip Code:03773-1504
Practice Address - Country:US
Practice Address - Phone:603-542-1878
Practice Address - Fax:603-542-1813
Is Sole Proprietor?:No
Enumeration Date:2015-08-20
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH4012225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3108079Medicaid