Provider Demographics
NPI:1871978270
Name:MCGINNESS, CASIE (ATC)
Entity type:Individual
Prefix:
First Name:CASIE
Middle Name:
Last Name:MCGINNESS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 SIMPSON PKWY
Mailing Address - Street 2:APT 511
Mailing Address - City:CHENEY
Mailing Address - State:WA
Mailing Address - Zip Code:99004-5001
Mailing Address - Country:US
Mailing Address - Phone:509-679-8397
Mailing Address - Fax:
Practice Address - Street 1:210 SIMPSON PKWY
Practice Address - Street 2:APT 511
Practice Address - City:CHENEY
Practice Address - State:WA
Practice Address - Zip Code:99004-5001
Practice Address - Country:US
Practice Address - Phone:509-679-8397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA20000218632255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer