MEDICARE: NEAL CASHMAN PT DPT

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	8780	CO
2	225100000X	Physical Therapist	910	WY

General Provider Information

NPI Number	:	1700807724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEAL CASHMAN PT DPT

Provider Business Mailing Address
First Line	:	1525 COPPERVILLE RD
Second Line	:
City	:	CHEYENNE
State	:	WY
Zip	:	82001-6537
Country	:	US
Telephone Number	:	307-631-2096
Fax Number	:

Provider Business Practice Location Address
First Line	:	7251 W 20TH ST UNIT P
Second Line	:
City	:	GREELEY
State	:	CO
Zip	:	80634-4626
Country	:	US
Telephone Number	:	970-330-5580
Fax Number	:	970-330-5406

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

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	04/22/2020

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