Provider Demographics
NPI:1558531301
Name:CAHILL, MAREN A (LAC)
Entity Type:Individual
Prefix:
First Name:MAREN
Middle Name:A
Last Name:CAHILL
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6610 GUNPARK DR STE 101
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-3579
Mailing Address - Country:US
Mailing Address - Phone:303-499-1965
Mailing Address - Fax:303-499-0397
Practice Address - Street 1:6610 GUNPARK DR STE 101
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-3579
Practice Address - Country:US
Practice Address - Phone:303-499-1965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-07
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0235171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist