Most Relevant Information
Provider Data
| NPI Number: | 1003492471 |
| Provider Name: | CASEY MCCANTS |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/24/2021 |
| Last Updated: | 03/24/2021 |
Provider Practice Location
1645 LUTCHER AVE
LUTCHER
LA
700715150
Practice Location Phone/Fax
| Phone: | 2257462974 |
| Fax: |
Provider Mailing Location
1645 LUTCHER AVE
LUTCHER
LA
700715150
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |