Provider Demographics
NPI:1992715460
Name:CASAUS, RICHARD GENE (LPT/LMT)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:GENE
Last Name:CASAUS
Suffix:
Gender:M
Credentials:LPT/LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 WASHINGTON ST SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87108-2735
Mailing Address - Country:US
Mailing Address - Phone:505-823-1230
Mailing Address - Fax:505-256-4831
Practice Address - Street 1:314 WASHINGTON ST SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-2735
Practice Address - Country:US
Practice Address - Phone:505-823-1230
Practice Address - Fax:505-256-4831
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1242225100000X
NM4329225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist