Provider Demographics
NPI:1386959005
Name:CASH, BRENDA KAY (LMT)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:KAY
Last Name:CASH
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 1:7 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BARBOURSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:20554
Mailing Address - Country:US
Mailing Address - Phone:304-710-1790
Mailing Address - Fax:866-488-6353
Practice Address - Street 1:7 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:BARBOURSVILLE
Practice Address - State:WV
Practice Address - Zip Code:20554
Practice Address - Country:US
Practice Address - Phone:304-710-1790
Practice Address - Fax:866-488-6353
Is Sole Proprietor?:No
Enumeration Date:2010-08-18
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDM04375225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist