Healthcare Provider Details

I. General information

NPI: 1689502445
Provider Name (Legal Business Name): ELLEN CASSEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 W TAYLOR ST
RENO NV
89509-1748
US

IV. Provider business mailing address

3300 SKYLINE BLVD APT 278
RENO NV
89509-5651
US

V. Phone/Fax

Practice location:
  • Phone: 530-400-4166
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberNVMT.13246
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: