Provider Demographics
NPI:1184744153
Name:CASIL, JOHN II (PT, DPT, GCS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:CASIL
Suffix:II
Gender:M
Credentials:PT, DPT, GCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:839 34TH ST NW
Mailing Address - Street 2:SUITE 8
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44709-2960
Mailing Address - Country:US
Mailing Address - Phone:330-234-1442
Mailing Address - Fax:
Practice Address - Street 1:839 34TH ST NW
Practice Address - Street 2:SUITE 8
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44709-2960
Practice Address - Country:US
Practice Address - Phone:330-234-1442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-31
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH106692251G0304X
PA185402251G0304X
CA348592251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics