Healthcare Provider Details

I. General information

NPI: 1174237465
Provider Name (Legal Business Name): VASHTI CASH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2023
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5205 COMMONWEALTH CENTRE PKWY
MIDLOTHIAN VA
23112-2623
US

IV. Provider business mailing address

905 FRIEDBERG CHURCH RD
WINSTON SALEM NC
27127-9803
US

V. Phone/Fax

Practice location:
  • Phone: 804-977-2770
  • Fax:
Mailing address:
  • Phone: 336-251-1180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119011580
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: