Provider Demographics
NPI:1649354317
Name:BENANDER, CASEY CATHLEEN KRAMPER (DPT)
Entity type:Individual
Prefix:DR
First Name:CASEY
Middle Name:CATHLEEN KRAMPER
Last Name:BENANDER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:CASEY
Other - Middle Name:CATHLEEN
Other - Last Name:KRAMPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4140 FERNCREEK DR STE 801
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-2572
Mailing Address - Country:US
Mailing Address - Phone:910-710-5051
Mailing Address - Fax:910-223-6233
Practice Address - Street 1:4140 FERNCREEK DR STE 801
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-2572
Practice Address - Country:US
Practice Address - Phone:910-710-5051
Practice Address - Fax:910-223-6233
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10195225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7211634Medicaid
NC067W8OtherBCBSNC
NC067W8OtherBCBSNC