Provider Demographics
NPI:1568704484
Name:HOUTS, CASSANDRA RENEE
Entity Type:Individual
Prefix:MS
First Name:CASSANDRA
Middle Name:RENEE
Last Name:HOUTS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1470 MEADOWVIEW DR APT 11
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:OH
Mailing Address - Zip Code:45822-4106
Mailing Address - Country:US
Mailing Address - Phone:567-279-4656
Mailing Address - Fax:
Practice Address - Street 1:1470 MEADOWVIEW DR APT 11
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:OH
Practice Address - Zip Code:45822-4106
Practice Address - Country:US
Practice Address - Phone:567-279-4656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide