Provider Demographics
NPI:1184281313
Name:WYER, CASI K (DPT)
Entity type:Individual
Prefix:MS
First Name:CASI
Middle Name:K
Last Name:WYER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 KIMBERLY DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-4522
Mailing Address - Country:US
Mailing Address - Phone:580-383-8665
Mailing Address - Fax:
Practice Address - Street 1:13801 N BRYANT AVE STE 400
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-6473
Practice Address - Country:US
Practice Address - Phone:405-286-6080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-22
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5626225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist