Healthcare Provider Details

I. General information

NPI: 1871421263
Provider Name (Legal Business Name): CHRISTOPHER CASART
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 E 400 N # 333
LOGAN UT
84321-4020
US

IV. Provider business mailing address

7811 L ST STE 202
OMAHA NE
68127-1805
US

V. Phone/Fax

Practice location:
  • Phone: 866-996-2772
  • Fax: 281-241-6483
Mailing address:
  • Phone: 866-996-2772
  • Fax: 281-241-6483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT4242
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: