Provider Demographics
NPI:1093267395
Name:CAMARGO, CASEY NOELLE (PT, DPT, LAT, ATC)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:NOELLE
Last Name:CAMARGO
Suffix:
Gender:F
Credentials:PT, DPT, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5105
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-5100
Mailing Address - Country:US
Mailing Address - Phone:828-258-8800
Mailing Address - Fax:828-651-0026
Practice Address - Street 1:2585 HENDERSONVILLE RD
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-9577
Practice Address - Country:US
Practice Address - Phone:828-258-8800
Practice Address - Fax:828-651-0026
Is Sole Proprietor?:No
Enumeration Date:2016-11-03
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLAT-48062255A2300X
KY20000158542255A2300X
KYAT13022255A2300X
NCP24055225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer