Provider Demographics
NPI:1598034126
Name:STEVENS, CASEY WHITNEY (DC)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:WHITNEY
Last Name:STEVENS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 S 9TH ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-5504
Mailing Address - Country:US
Mailing Address - Phone:765-962-4476
Mailing Address - Fax:765-962-4477
Practice Address - Street 1:32 S 9TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-5504
Practice Address - Country:US
Practice Address - Phone:765-962-4476
Practice Address - Fax:765-962-4477
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-28
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002496A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor