MEDICARE: KASEY CASH

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	222Q00000X	Developmental Therapist

General Provider Information

NPI Number	:	1558504498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KASEY CASH

Provider Business Mailing Address
First Line	:	5121 EHRLICH RD
Second Line	:	SUITE 102A
City	:	TAMPA
State	:	FL
Zip	:	33624-2049
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5121 EHRLICH RD
Second Line	:	SUITE 102A
City	:	TAMPA
State	:	FL
Zip	:	33624-2049
Country	:	US
Telephone Number	:	813-748-1386
Fax Number	:

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

Provider Enumeration Date	:	04/08/2009
Last Update Date	:	04/08/2009

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Directions to “ KASEY CASH ” Practice Location

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