Provider Demographics
NPI:1336629724
Name:BIRCHFIELD, KASEY (DPT)
Entity Type:Individual
Prefix:
First Name:KASEY
Middle Name:
Last Name:BIRCHFIELD
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 1:7123 SWEET POTATO RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45309
Mailing Address - Country:US
Mailing Address - Phone:937-689-7819
Mailing Address - Fax:
Practice Address - Street 1:4800 TIMBER TRAIL DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-5311
Practice Address - Country:US
Practice Address - Phone:937-689-7819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist