Healthcare Provider Details

I. General information

NPI: 1306701883
Provider Name (Legal Business Name): CASSIDY CHRISTINA BARTON DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1654 E CHOCOLATE AVE
HERSHEY PA
17033-1119
US

IV. Provider business mailing address

1621 OAK RD
POTTSVILLE PA
17901-3209
US

V. Phone/Fax

Practice location:
  • Phone: 717-520-1212
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC012096
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: