Healthcare Provider Details

I. General information

NPI: 1659565414
Provider Name (Legal Business Name): DIANE ELIZABETH CASHMAN P. T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2007
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 N. SALES STREET
MERRILL WI
54452
US

IV. Provider business mailing address

1304 E. 3RD STREET
MERRILL WI
54452
US

V. Phone/Fax

Practice location:
  • Phone: 715-536-5233
  • Fax:
Mailing address:
  • Phone: 715-292-4228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number5391
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: