Provider Demographics
NPI:1922528850
Name:CASALI, ALEXA MARIE (PTA)
Entity Type:Individual
Prefix:MRS
First Name:ALEXA
Middle Name:MARIE
Last Name:CASALI
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MISS
Other - First Name:ALEXA
Other - Middle Name:MARIE
Other - Last Name:SALANSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:205 VINE WAY # A
Mailing Address - Street 2:
Mailing Address - City:LYNDEN
Mailing Address - State:WA
Mailing Address - Zip Code:98264-1048
Mailing Address - Country:US
Mailing Address - Phone:913-602-2788
Mailing Address - Fax:
Practice Address - Street 1:4680 CORDATA PKWY
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-8038
Practice Address - Country:US
Practice Address - Phone:360-398-1966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-21
Last Update Date:2017-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAP1606548202081N0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular Medicine