Provider Demographics
NPI:1972829935
Name:VOGLER, CASEY MILLER (DPT)
Entity Type:Individual
Prefix:MR
First Name:CASEY
Middle Name:MILLER
Last Name:VOGLER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8888 NAVARRE PKWY
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-3615
Mailing Address - Country:US
Mailing Address - Phone:850-939-1017
Mailing Address - Fax:850-939-0874
Practice Address - Street 1:8888 NAVARRE PKWY
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:FL
Practice Address - Zip Code:32566-3615
Practice Address - Country:US
Practice Address - Phone:850-939-1017
Practice Address - Fax:850-939-0874
Is Sole Proprietor?:No
Enumeration Date:2010-04-15
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV225100000X
VA2305206677225100000X
FLPT26651225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist