MEDICARE: MAREN A CAHILL L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	0235	CO

General Provider Information

NPI Number	:	1558531301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAREN A CAHILL L.AC.

Provider Business Mailing Address
First Line	:	6610 GUNPARK DR STE 101
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80301-3579
Country	:	US
Telephone Number	:	303-499-1965
Fax Number	:	303-499-0397

Provider Business Practice Location Address
First Line	:	6610 GUNPARK DR STE 101
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80301-3579
Country	:	US
Telephone Number	:	303-499-1965
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2008
Last Update Date	:	10/29/2019

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Directions to “ MAREN A CAHILL L.AC.” Practice Location

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