Provider Demographics
NPI:1760454664
Name:CASMUS, ROBERT (LAT, ATC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:CASMUS
Suffix:
Gender:M
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 MCINTOSH LN
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-6815
Mailing Address - Country:US
Mailing Address - Phone:704-637-3866
Mailing Address - Fax:
Practice Address - Street 1:2300 W INNES ST
Practice Address - Street 2:CATAWBA COLLEGE
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2441
Practice Address - Country:US
Practice Address - Phone:704-637-4350
Practice Address - Fax:704-637-4799
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0075174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist