Provider Demographics
NPI:1790268274
Name:CARSKY, HAVELY CAROLYN DICKERSON (DPT)
Entity Type:Individual
Prefix:DR
First Name:HAVELY
Middle Name:CAROLYN DICKERSON
Last Name:CARSKY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:HAVELY
Other - Middle Name:CAROLYN
Other - Last Name:DICKERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 100136
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29202-3136
Mailing Address - Country:US
Mailing Address - Phone:828-257-4725
Mailing Address - Fax:
Practice Address - Street 1:119 HENDERSONVILLE RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2868
Practice Address - Country:US
Practice Address - Phone:828-771-5500
Practice Address - Fax:828-257-4750
Is Sole Proprietor?:No
Enumeration Date:2018-09-11
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP17772225100000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist