Provider Demographics
NPI:1932400017
Name:CASCIATO, WILLIAM KADE (LMT)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:KADE
Last Name:CASCIATO
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2008 3RD ST STE B
Mailing Address - Street 2:
Mailing Address - City:LA GRANDE
Mailing Address - State:OR
Mailing Address - Zip Code:97850-2200
Mailing Address - Country:US
Mailing Address - Phone:541-963-9630
Mailing Address - Fax:541-963-6346
Practice Address - Street 1:2008 3RD ST STE B
Practice Address - Street 2:
Practice Address - City:LA GRANDE
Practice Address - State:OR
Practice Address - Zip Code:97850-2200
Practice Address - Country:US
Practice Address - Phone:541-963-9630
Practice Address - Fax:541-963-6346
Is Sole Proprietor?:No
Enumeration Date:2010-11-05
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR17286225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist