Cast Therapy LLC

NPI #1699044172 in Blue Ash, Ohio

Provider Information

NPI Number: 1699044172
Entity Type: Organization
Organization Name: Cast Therapy LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CENTER FOR ADVANCED SPINE TECHNOLOGY
Primary Specialty: Physical Therapist
Enumeration Date: Dec 29, 2011
Last Updated: Dec 29, 2011

Practice Location

Address: 4555 LAKE FOREST DR
Address 2: SUITE 150
City: Blue Ash
State: Ohio
ZIP Code: 45242-3785
Phone: (513) 281-2278

Authorized Official

Name: JACK JOHNSON
Title: CFO
Phone: (281) 881-4211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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