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NPI Code Detail

MEDICARE: CASEY CASH P.T., D.P.T

MEDICARE:   CASEY  CASH  P.T., D.P.T
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
1225100000XPhysical TherapistPT-3757ID
2225100000XPhysical TherapistPTL.0013114CO

General Provider Information

NPI Number : 1356730998
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASEY CASH P.T., D.P.T
Provider Business Mailing Address
First Line : 2778 W 22ND AVE
Second Line :
City : DENVER
State : CO
Zip : 80211-5108
Country : US
Telephone Number : 406-570-3793
Fax Number :
Provider Business Practice Location Address
First Line : 420 E 58TH AVE
Second Line : #111
City : DENVER
State : CO
Zip : 80216-1430
Country : US
Telephone Number : 303-292-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2015
Last Update Date : 11/16/2017

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