Casey West, PT, DPT, ATC, LAT

NPI #1184019887 in Champaign, Illinois

Provider Information

NPI Number: 1184019887
Entity Type: Individual
Name: Casey West, PT, DPT, ATC, LAT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT, ATC, LAT
Enumeration Date: Mar 31, 2015
Last Updated: Aug 21, 2023

Practice Location

Address: 2300 S 1ST ST
City: Champaign
State: Illinois
ZIP Code: 61820-7661
Phone: (765) 230-0709

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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