Individual
MISS CASSI LEE COLE
Active
Individual
MISS CASSI LEE COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1175598
TX
2251X0800X
Orthopedic Physical Therapist
1175598
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1175598
PHYSICAL THERAPY LICENSE
TX
01
—
1K9617
MEDICARE
TX
01
—
854T75
BCBS ORTHOTEXAS
TX
01
—
P00954311
RAILROAD MEDICARE
TX
01
—
TXB119301
MEDICARE PIN
TX
Enumeration date
08/06/2007
Last updated
12/14/2022
Update your record
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