| Doctor Name: | CASEY BRAENDLE |
| NPI Number: | 1477979110 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 006308 |
| Business Practice Address: | 2312 13th St Ashland, KY - 411013524 |
| Business Phone Number: | 6063290910 |
| Business Fax Number: | 6063258434 |
| Mailing Address: | Po Box 1240, ASHLAND |
| State: | KY |
| Postal Code: | 411051240 |
| Phone Number: | 6063257955 |
| Fax Number: | 6063259848 |
| NPI Enumeration Date: | 03/05/2014 |
| NPI Last Update Date: | 03/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 006308 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |