Provider Demographics
NPI:1700807724
Name:CASHMAN, NEAL (PT DPT)
Entity Type:Individual
Prefix:
First Name:NEAL
Middle Name:
Last Name:CASHMAN
Suffix:
Gender:M
Credentials:PT DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 COPPERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-6537
Mailing Address - Country:US
Mailing Address - Phone:307-631-2096
Mailing Address - Fax:
Practice Address - Street 1:7251 W 20TH ST UNIT P
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-4626
Practice Address - Country:US
Practice Address - Phone:970-330-5580
Practice Address - Fax:970-330-5406
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8780225100000X
WY910225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC802799Medicare ID - Type Unspecified