Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kasey Dickerson

Individual provider Physical Therapy Assistant · NPI 1689046179

Kasey Dickerson is a Physical Therapy Assistant in Evening Shade, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2015
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Practice location Address checks out

31 Back Forty Ln
Evening Shade, AR 72532-9004
Phone: (870) 266-3323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3969 (AR)

Record details

NPI number1689046179
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 23, 2015
Last updated in NPPESOctober 23, 2015