CASSANDRA JEAN FASE
NPI 1134558224
Rehabilitation Practitioner in Grand Rapids, MI

Q: What is the provider's specialty?

The provider's specialty is Rehabilitation Practitioner with taxonomy code 225400000X.

Active since November 08, 2013

3492 LAKE DR SE, GRAND RAPIDS, MI 49546(616) 957-4057 Get Directions Write a Review

NPPES record last updated: November 8, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Cassandra Jean Fase NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASSANDRA JEAN FASE (NPI 1134558224) is an individual rehabilitation practitioner in Grand Rapids, Michigan and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1134558224

Entity TypeIndividualFemale

Primary Taxonomy225400000X

Provider Legal NameCASSANDRA JEAN FASE

Location Address3492 LAKE DR SEGrand Rapids, MI 49546-4338

Mailing Address3492 Lake Dr SeGrand Rapids, MI 49546-4338 · (616) 957-4057

Phone(616) 957-4057

Sole ProprietorYes

Enumeration DateNovember 8, 2013

✔ NPI 1134558224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

3492 LAKE DR SE, Grand Rapids, MI 49546

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEDILA K MAJOR-BABCOCK LPN

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