Provider Demographics
NPI:1093819005
Name:CASHION, JAYMIE RENEE (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:JAYMIE
Middle Name:RENEE
Last Name:CASHION
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1172 N OAK ST
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:IL
Mailing Address - Zip Code:62924
Mailing Address - Country:US
Mailing Address - Phone:618-924-4434
Mailing Address - Fax:618-998-9993
Practice Address - Street 1:2907 WILLIAMSON CO PKWY
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IL
Practice Address - Zip Code:62959
Practice Address - Country:US
Practice Address - Phone:618-998-9894
Practice Address - Fax:618-998-9993
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist