Provider Demographics
NPI:1902503980
Name:TURMELLE, CASEY (LIC AC)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:TURMELLE
Suffix:
Gender:M
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 BITTERSWEET LN
Mailing Address - Street 2:
Mailing Address - City:STRATHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03885-2595
Mailing Address - Country:US
Mailing Address - Phone:616-901-3649
Mailing Address - Fax:
Practice Address - Street 1:87 LAFAYETTE RD
Practice Address - Street 2:
Practice Address - City:HAMPTON FALLS
Practice Address - State:NH
Practice Address - Zip Code:03844-2317
Practice Address - Country:US
Practice Address - Phone:603-815-8265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-10
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH7288225700000X
NH299171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist