Provider Demographics
NPI:1558306316
Name:CAHILL, AMY ESTELLA (ATC, LAT)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:ESTELLA
Last Name:CAHILL
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12110 E BOXTHORN ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-8264
Mailing Address - Country:US
Mailing Address - Phone:316-858-3537
Mailing Address - Fax:316-691-6792
Practice Address - Street 1:12110 E BOXTHORN ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-8264
Practice Address - Country:US
Practice Address - Phone:316-858-3537
Practice Address - Fax:316-691-6792
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer