MEDICARE: CASSANDRA JOY HULSE PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	P23432	NC

General Provider Information

NPI Number	:	1124563051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSANDRA JOY HULSE PT, DPT

Provider Business Mailing Address
First Line	:	275 NC-16 BUS #203
Second Line	:
City	:	DENVER
State	:	NC
Zip	:	28037
Country	:	US
Telephone Number	:	980-212-7059
Fax Number	:

Provider Business Practice Location Address
First Line	:	275 NC-16 BUS #203
Second Line	:
City	:	DENVER
State	:	NC
Zip	:	28037
Country	:	US
Telephone Number	:	980-212-7059
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2017
Last Update Date	:	03/11/2026

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