Individual
STEVEN SEAN CASSABAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
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
07/13/2026
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