Provider Demographics
NPI:1033633987
Name:RUMSEY, CASSIE BROOKE (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:CASSIE
Middle Name:BROOKE
Last Name:RUMSEY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MISS
Other - First Name:CASSIE
Other - Middle Name:
Other - Last Name:KOSCHESKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1120 E 38TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-3114
Mailing Address - Country:US
Mailing Address - Phone:918-706-7618
Mailing Address - Fax:
Practice Address - Street 1:1001 S 41ST ST E
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74403-6253
Practice Address - Country:US
Practice Address - Phone:918-781-6500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-02
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5319225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist