Provider Demographics
NPI:1619744489
Name:CASIE DANENHAUER PHYSICAL THERAPY P.C.
Entity Type:Organization
Organization Name:CASIE DANENHAUER PHYSICAL THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CASIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:DANENHAUER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:480-812-5618
Mailing Address - Street 1:4230 OVERLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-3736
Mailing Address - Country:US
Mailing Address - Phone:424-625-2279
Mailing Address - Fax:
Practice Address - Street 1:4230 OVERLAND AVE
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-3736
Practice Address - Country:US
Practice Address - Phone:424-625-2279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty