Provider Demographics
NPI:1881888691
Name:CASON, DEBORAH A (MASSAGE PRACTIONER)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:A
Last Name:CASON
Suffix:
Gender:F
Credentials:MASSAGE PRACTIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 794
Mailing Address - Street 2:200 BIG LEAGUE BEND OFFICE
Mailing Address - City:OMAHA
Mailing Address - State:TX
Mailing Address - Zip Code:75571-0794
Mailing Address - Country:US
Mailing Address - Phone:903-884-3388
Mailing Address - Fax:
Practice Address - Street 1:200 BIG LEAGUE BND
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:TX
Practice Address - Zip Code:75571-4147
Practice Address - Country:US
Practice Address - Phone:903-884-3388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT037683225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist