Provider Demographics
NPI:1780804138
Name:CASH, MISHELL NACHOLE (LMT)
Entity type:Individual
Prefix:MRS
First Name:MISHELL
Middle Name:NACHOLE
Last Name:CASH
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32200 MILITARY RD S APT Y101
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98001-5135
Mailing Address - Country:US
Mailing Address - Phone:253-508-3605
Mailing Address - Fax:
Practice Address - Street 1:822-A NE NORTHGATE WAY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125
Practice Address - Country:US
Practice Address - Phone:206-367-6453
Practice Address - Fax:206-367-4971
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00018282175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath