Provider Demographics
NPI:1629865977
Name:PASCOE, DAVID
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:PASCOE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7154 HIPP ST
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-2616
Mailing Address - Country:US
Mailing Address - Phone:313-215-2670
Mailing Address - Fax:313-383-1183
Practice Address - Street 1:7154 HIPP ST
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-2616
Practice Address - Country:US
Practice Address - Phone:313-215-2670
Practice Address - Fax:313-383-1183
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist