Cassidy Nicole Raibert, PT, DPT, NCS

NPI #1104307172 in La Grange, Kentucky

Provider Information

NPI Number: 1104307172
Entity Type: Individual
Name: Cassidy Nicole Raibert, PT, DPT, NCS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, DPT, NCS
Enumeration Date: Aug 27, 2018
Last Updated: Mar 30, 2020

Practice Location

Address: 4603 TIMBERWALK CT
City: La Grange
State: Kentucky
ZIP Code: 40031-6746
Phone: (703) 864-6695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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