Provider Demographics
NPI:1336330828
Name:MCHENRY, CASSANDRA RAE (MPT)
Entity Type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:RAE
Last Name:MCHENRY
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HEALTH DR
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-8604
Mailing Address - Country:US
Mailing Address - Phone:740-779-3305
Mailing Address - Fax:
Practice Address - Street 1:1 HEALTH DR
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-8604
Practice Address - Country:US
Practice Address - Phone:740-779-3305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH008413225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist