Provider Demographics
NPI:1871793513
Name:STEIN, KASEY RENEE (DPT)
Entity type:Individual
Prefix:
First Name:KASEY
Middle Name:RENEE
Last Name:STEIN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KASEY
Other - Middle Name:
Other - Last Name:LANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:350 NEW FIDELITY CT
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-2665
Mailing Address - Country:US
Mailing Address - Phone:919-373-2919
Mailing Address - Fax:
Practice Address - Street 1:5838 SIX FORKS RD STE 300
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-3893
Practice Address - Country:US
Practice Address - Phone:919-782-5954
Practice Address - Fax:919-890-5304
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2540225100000X
PAPT018847225100000X
CA36602225100000X
NC15341225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist