Provider Demographics
NPI:1356335624
Name:CASH, SEAN ANDRE (MPT)
Entity type:Individual
Prefix:MR
First Name:SEAN
Middle Name:ANDRE
Last Name:CASH
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 S ENNIS ST
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362-4635
Mailing Address - Country:US
Mailing Address - Phone:360-452-3529
Mailing Address - Fax:360-452-3621
Practice Address - Street 1:116 S ENNIS ST
Practice Address - Street 2:
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362-4635
Practice Address - Country:US
Practice Address - Phone:360-452-3529
Practice Address - Fax:360-452-3621
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00008129225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist