Provider Demographics
NPI:1710260716
Name:CAHILL, ERICA STARR (LMP)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:STARR
Last Name:CAHILL
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12260 4TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98146-2951
Mailing Address - Country:US
Mailing Address - Phone:206-371-1347
Mailing Address - Fax:425-820-5022
Practice Address - Street 1:13904 100TH AVE NE
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-5231
Practice Address - Country:US
Practice Address - Phone:425-820-5888
Practice Address - Fax:425-820-5022
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60247236225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist