Provider Demographics
NPI:1124851142
Name:CASELY, CHRIS (MBA, PHD, AP, AYT)
Entity type:Individual
Prefix:
First Name:CHRIS
Middle Name:
Last Name:CASELY
Suffix:
Gender:M
Credentials:MBA, PHD, AP, AYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 87TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-5109
Mailing Address - Country:US
Mailing Address - Phone:816-719-6062
Mailing Address - Fax:
Practice Address - Street 1:800 87TH ST
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-5109
Practice Address - Country:US
Practice Address - Phone:816-719-6062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach