Provider Demographics
NPI:1700255296
Name:ANDREWS, CASEY (PT, DPT)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CASEY
Other - Middle Name:
Other - Last Name:HODGIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1008 10TH ST SE
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:ND
Mailing Address - Zip Code:58401-7207
Mailing Address - Country:US
Mailing Address - Phone:701-952-2739
Mailing Address - Fax:
Practice Address - Street 1:1008 10TH ST SE
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:ND
Practice Address - Zip Code:58401-7207
Practice Address - Country:US
Practice Address - Phone:701-952-2739
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-15
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND2084225100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist