Provider Demographics
NPI:1710388236
Name:ANDREWS, KASEY J (DPT)
Entity Type:Individual
Prefix:
First Name:KASEY
Middle Name:J
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KASEY
Other - Middle Name:J
Other - Last Name:CARTWRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:600 OAKMONT LN STE 600C
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-5548
Mailing Address - Country:US
Mailing Address - Phone:630-575-6250
Mailing Address - Fax:630-575-7450
Practice Address - Street 1:3145 N DYSART RD STE 109
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-6802
Practice Address - Country:US
Practice Address - Phone:623-522-8491
Practice Address - Fax:623-522-8492
Is Sole Proprietor?:No
Enumeration Date:2014-09-16
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070021011225XP0019X
AZLPT-31275225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation