Provider Demographics
NPI:1033538715
Name:CAHILL, SHAWN (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:
Last Name:CAHILL
Suffix:
Gender:M
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8909 NORTH COLTON DR.
Mailing Address - Street 2:APT# 3
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99217
Mailing Address - Country:US
Mailing Address - Phone:509-847-3393
Mailing Address - Fax:
Practice Address - Street 1:1212 NORTH WASHINGTON SUITE
Practice Address - Street 2:ROCK ONE SUITE 306
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:29901
Practice Address - Country:US
Practice Address - Phone:509-847-3393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60393087175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath