MEDICARE: JULIE CASH CMT, CLT, LANA

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	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1487701611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE CASH CMT, CLT, LANA

Provider Business Mailing Address
First Line	:	6167 N FRESNO ST
Second Line	:	SUITE 102
City	:	FRESNO
State	:	CA
Zip	:	93710-8610
Country	:	US
Telephone Number	:	559-432-2373
Fax Number	:	559-320-4343

Provider Business Practice Location Address
First Line	:	6167 N FRESNO ST
Second Line	:	SUITE 102
City	:	FRESNO
State	:	CA
Zip	:	93710-8610
Country	:	US
Telephone Number	:	559-432-2373
Fax Number	:	559-320-4343

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

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	07/08/2007

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