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General NPI Number Information
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NPI Number | 1760397483
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Entity Type | Individual
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Provider Name | CASSIDY OLSEN
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Gender | Female
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 6270 LEHMAN DR STE 250
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-1450
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Country | US
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Telephone | 719-685-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 3759 SCHAFER HTS UNIT 101
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6470
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Country | US
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Telephone | 719-701-7860
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 0024043
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License Number State | CO
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