Individual
STEVEN SEAN CASSABAUM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
630 6TH ST, NEVADA, IA 50201
(515) 382-7008
(515) 382-7171
Mailing address
PO BOX 461, NEVADA, IA 50201-0461
(515) 382-3366
(515) 382-1576
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02179
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36591
BLUE CROSS IND
IA
01
—
46601
BLUE CROSS GRP
IA
01
—
56588
BLUE CROSS ACT
IA
Enumeration date
05/03/2006
Last updated
07/08/2007
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