Provider Demographics
NPI:1841042009
Name:WEST, CASSADY (DC)
Entity type:Individual
Prefix:
First Name:CASSADY
Middle Name:
Last Name:WEST
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5905 W CHARLESTON BLVD APT 334
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-1377
Mailing Address - Country:US
Mailing Address - Phone:817-781-3217
Mailing Address - Fax:
Practice Address - Street 1:1527 W CRAIG RD STE 8
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-0228
Practice Address - Country:US
Practice Address - Phone:702-688-8540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB02034111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor