# FASA FAMILY WELLNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cascade Foot & Ankle PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871506444
- **Authorized official:** ROSALIE KREIGHBAUM (REGIONAL CREDENTIALING SPECIALIST)
- **Authorized official phone:** (314) 909-1920

## Contact information

- **Practice address:** 2400 RACQUET LN, YAKIMA, WA 98902-6109
- **Practice address phone:** (509) 225-3668
- **Practice address fax:** (509) 225-3448
- **Mailing address:** PO BOX 825159, PHILADELPHIA, PA 19182-5159
- **Mailing address phone:** (866) 626-1540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO00000565 | WA | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 05/12/2025