Provider Demographics
NPI:1306233861
Name:SAARI, CASSANDRA (LMT)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:SAARI
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 1:1010 STATE HIGHWAY M28 E
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-9092
Mailing Address - Country:US
Mailing Address - Phone:906-228-8248
Mailing Address - Fax:
Practice Address - Street 1:1010 STATE HIGHWAY M28 E
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-9092
Practice Address - Country:US
Practice Address - Phone:906-228-8248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL2436863225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist