Kasey Dickerson Valid NPI
Individual provider · Physical Therapy Assistant · Evening Shade, AR
- NPI
- 1689046179
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapy Assistant
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225200000X
- License number
- 3969 (AR)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2015-10-23
- Last updated
- 2015-10-23
Practice location
31 Back Forty Ln
Evening Shade, AR 72532-9004
(870) 266-3323