Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 81970 | MO |
Y | 225700000X | Massage Therapist | 2006008065 |
NPI | 1083070882 |
---|---|
Provider Name | Dawn Cahill |
First Address | Washington, MO 63090-5498 |
Second Address | Washington, MO 63090-5498 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2016 |
Last Update Date | 08/01/2016 |