Casey Shortt, PTA

NPI #1417641291 in South Lyon, Michigan

Provider Information

NPI Number: 1417641291
Entity Type: Individual
Name: Casey Shortt, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 6, 2023
Last Updated: Jun 6, 2023

Practice Location

Address: 51635 10 MILE RD
City: South Lyon
State: Michigan
ZIP Code: 48178-9720
Phone: (248) 278-1072

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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