MEDICARE: MR. SEAN ANDRE CASH MPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT00008129	WA

General Provider Information

NPI Number	:	1356335624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SEAN ANDRE CASH MPT

Provider Business Mailing Address
First Line	:	116 S ENNIS ST
Second Line	:
City	:	PORT ANGELES
State	:	WA
Zip	:	98362-4635
Country	:	US
Telephone Number	:	360-452-3529
Fax Number	:	360-452-3621

Provider Business Practice Location Address
First Line	:	116 S ENNIS ST
Second Line	:
City	:	PORT ANGELES
State	:	WA
Zip	:	98362-4635
Country	:	US
Telephone Number	:	360-452-3529
Fax Number	:	360-452-3621

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2005
Last Update Date	:	03/19/2020

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