Provider Demographics
NPI:1356719702
Name:KREAMIER, CASEY (LMT)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:KREAMIER
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 SW 257TH AVE
Mailing Address - Street 2:APT 75
Mailing Address - City:TROUTDALE
Mailing Address - State:OR
Mailing Address - Zip Code:97060-7425
Mailing Address - Country:US
Mailing Address - Phone:808-343-4138
Mailing Address - Fax:
Practice Address - Street 1:725 SW 257TH AVE
Practice Address - Street 2:APT 75
Practice Address - City:TROUTDALE
Practice Address - State:OR
Practice Address - Zip Code:97060-7425
Practice Address - Country:US
Practice Address - Phone:808-343-4138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-02
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR21263225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist