Individual
DR. CASSIDY RAE TEAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1207 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-8519
(859) 258-8592
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008755
KY
225100000X
Physical Therapist
1330624
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100894410
—
KY
Enumeration date
09/02/2020
Last updated
04/07/2025
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