Provider Demographics
NPI:1730426875
Name:BAAR, CASSANDRA JEAN (DC)
Entity type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:JEAN
Last Name:BAAR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:JEAN
Other - Last Name:BAAR COOK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:3801 S WESTERN AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-6589
Mailing Address - Country:US
Mailing Address - Phone:605-334-4337
Mailing Address - Fax:877-256-0827
Practice Address - Street 1:3801 S WESTERN AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-6589
Practice Address - Country:US
Practice Address - Phone:605-334-4337
Practice Address - Fax:877-256-0827
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-09
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1229111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor