Provider Demographics
NPI:1275343477
Name:KASSIR, PAIGE (ND)
Entity type:Individual
Prefix:DR
First Name:PAIGE
Middle Name:
Last Name:KASSIR
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13744 W FOREST PLEASANT PL
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-6125
Mailing Address - Country:US
Mailing Address - Phone:480-818-1494
Mailing Address - Fax:
Practice Address - Street 1:15278 W BELL RD STE 103
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-3100
Practice Address - Country:US
Practice Address - Phone:602-432-4055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath