Provider Demographics
NPI:1649706755
Name:CASHAE SPINE AND SPORTS LLC
Entity type:Organization
Organization Name:CASHAE SPINE AND SPORTS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:CASHA
Authorized Official - Middle Name:CHIERRE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:240-641-5693
Mailing Address - Street 1:10800 LOCKWOOD DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-1554
Mailing Address - Country:US
Mailing Address - Phone:240-641-5693
Mailing Address - Fax:240-641-5702
Practice Address - Street 1:10800 LOCKWOOD DR STE 206
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1554
Practice Address - Country:US
Practice Address - Phone:240-641-5693
Practice Address - Fax:240-641-5702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-10
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS03626111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty