Provider Demographics
NPI:1356730626
Name:LIPINSKI, CASSANDRA (ATC)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:LIPINSKI
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7266 W MARKET ST # L-37
Mailing Address - Street 2:
Mailing Address - City:MERCER
Mailing Address - State:PA
Mailing Address - Zip Code:16137-6611
Mailing Address - Country:US
Mailing Address - Phone:724-977-4356
Mailing Address - Fax:
Practice Address - Street 1:7266 W MARKET ST # L-37
Practice Address - Street 2:
Practice Address - City:MERCER
Practice Address - State:PA
Practice Address - Zip Code:16137-6611
Practice Address - Country:US
Practice Address - Phone:724-977-4356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-09
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer