MEDICARE: CASSANDRA LYNN HYRE PTA

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	225200000X	Physical Therapy Assistant	70102211	WA

General Provider Information

NPI Number	:	1932037348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSANDRA LYNN HYRE PTA

Provider Business Mailing Address
First Line	:	1419 IVY RD
Second Line	:
City	:	BREMERTON
State	:	WA
Zip	:	98310-3515
Country	:	US
Telephone Number	:	360-473-7142
Fax Number	:

Provider Business Practice Location Address
First Line	:	451 SW SEDGWICK RD
Second Line	:
City	:	PORT ORCHARD
State	:	WA
Zip	:	98367-6447
Country	:	US
Telephone Number	:	360-845-1801
Fax Number	:

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

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	05/13/2026

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