Provider Demographics
NPI:1023112620
Name:THURMAN, CASSANDRA E (CSTFA)
Entity type:Individual
Prefix:MS
First Name:CASSANDRA
Middle Name:E
Last Name:THURMAN
Suffix:
Gender:F
Credentials:CSTFA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4444 E MCCORMICK RD
Mailing Address - Street 2:
Mailing Address - City:ENGLISH
Mailing Address - State:IN
Mailing Address - Zip Code:47118
Mailing Address - Country:US
Mailing Address - Phone:812-596-0564
Mailing Address - Fax:812-738-1999
Practice Address - Street 1:4444 E MCCORMICK RD
Practice Address - Street 2:
Practice Address - City:ENGLISH
Practice Address - State:IN
Practice Address - Zip Code:47118
Practice Address - Country:US
Practice Address - Phone:812-596-0564
Practice Address - Fax:812-738-1999
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist