Provider Demographics
NPI:1093708976
Name:CASTLE, JAMES W (ATC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:W
Last Name:CASTLE
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 PINECREST CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH WATERBORO
Mailing Address - State:ME
Mailing Address - Zip Code:04061-4826
Mailing Address - Country:US
Mailing Address - Phone:386-214-5147
Mailing Address - Fax:
Practice Address - Street 1:38 PINECREST CIR
Practice Address - Street 2:
Practice Address - City:NORTH WATERBORO
Practice Address - State:ME
Practice Address - Zip Code:04061-4826
Practice Address - Country:US
Practice Address - Phone:386-214-5147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAT1492255A2300X
FLAL 21522255A2300X, 2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer