Provider Demographics
NPI:1144934993
Name:MCCREA, CASSIDY ALYSON (DC)
Entity type:Individual
Prefix:
First Name:CASSIDY
Middle Name:ALYSON
Last Name:MCCREA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:991 NE RIDDELL RD
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-3035
Mailing Address - Country:US
Mailing Address - Phone:360-373-2225
Mailing Address - Fax:866-847-7770
Practice Address - Street 1:19740 7TH AVE NE STE 100
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-8685
Practice Address - Country:US
Practice Address - Phone:360-779-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-06
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61369033111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor