Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 6867 | NC |
N | 2251S0007X | Physical Therapist - Sports | 6867 | NC |
N | 2251X0800X | Physical Therapist - Orthopedic | 6867 | NC |
NPI | 1215946512 |
---|---|
Provider Name | Mr. Darren M Cady |
First Address | Asheville, NC 28803-1905 |
Second Address | Asheville, NC 28803-3152 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 15/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0789L | BCBS (01) | NC |