Provider Demographics
NPI:1679643993
Name:ARCENEAUX, CASEY S (PT, MS, ATC)
Entity Type:Individual
Prefix:MR
First Name:CASEY
Middle Name:S
Last Name:ARCENEAUX
Suffix:
Gender:F
Credentials:PT, MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 S SAINT BLAISE LN
Mailing Address - Street 2:SUITE A
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592
Mailing Address - Country:US
Mailing Address - Phone:337-735-7575
Mailing Address - Fax:337-735-7575
Practice Address - Street 1:810 S SAINT BLAISE LN
Practice Address - Street 2:SUITE A
Practice Address - City:YOUNGSVILLE
Practice Address - State:LA
Practice Address - Zip Code:70592
Practice Address - Country:US
Practice Address - Phone:337-735-7575
Practice Address - Fax:337-735-7575
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA06849225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY4H789C928Medicare ID - Type UnspecifiedMEDICARE PROVIDER#