Provider Demographics
NPI:1699126045
Name:CAHILL, MELISSA (CPT)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:CAHILL
Suffix:
Gender:F
Credentials:CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:868 COLOMA DR
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89705-7205
Mailing Address - Country:US
Mailing Address - Phone:928-278-5380
Mailing Address - Fax:
Practice Address - Street 1:4005 CEDAR AVE
Practice Address - Street 2:
Practice Address - City:SOUTH LAKE TAHOE
Practice Address - State:CA
Practice Address - Zip Code:96150-7066
Practice Address - Country:US
Practice Address - Phone:928-278-5380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other