Provider Demographics
NPI:1316399983
Name:DENTON, CASSIA (ATC)
Entity Type:Individual
Prefix:
First Name:CASSIA
Middle Name:
Last Name:DENTON
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2144 CALIFORNIA ST NW
Mailing Address - Street 2:APT 210
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-1878
Mailing Address - Country:US
Mailing Address - Phone:530-913-7327
Mailing Address - Fax:
Practice Address - Street 1:2144 CALIFORNIA ST NW
Practice Address - Street 2:APT 210
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-1878
Practice Address - Country:US
Practice Address - Phone:530-913-7327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-07
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer