Provider Demographics
NPI:1932833068
Name:SCHEIN, CASSANDRA ANNETTE (LMT)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:ANNETTE
Last Name:SCHEIN
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 1:6137 CALEDON RD
Mailing Address - Street 2:
Mailing Address - City:KING GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:22485-7119
Mailing Address - Country:US
Mailing Address - Phone:540-642-6454
Mailing Address - Fax:
Practice Address - Street 1:6137 CALEDON RD
Practice Address - Street 2:
Practice Address - City:KING GEORGE
Practice Address - State:VA
Practice Address - Zip Code:22485-7119
Practice Address - Country:US
Practice Address - Phone:540-642-6454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019018857225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist