Provider Demographics
NPI:1083070882
Name:CAHILL, DAWN
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:CAHILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3021 HIGHWAY A
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63090-5498
Mailing Address - Country:US
Mailing Address - Phone:636-432-5567
Mailing Address - Fax:636-432-5567
Practice Address - Street 1:3021 HIGHWAY A
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-5498
Practice Address - Country:US
Practice Address - Phone:636-432-5567
Practice Address - Fax:636-432-5567
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-08
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO81970175F00000X
2006008065225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No175F00000XOther Service ProvidersNaturopath