Healthcare Provider Details

I. General information

NPI: 1487035143
Provider Name (Legal Business Name): ERIN CAHILL CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2015
Last Update Date: 06/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17415 MONTEREY ST SUITE 205B
MORGAN HILL CA
95037-7313
US

IV. Provider business mailing address

17415 MONTEREY ST SUITE 205B
MORGAN HILL CA
95037-7313
US

V. Phone/Fax

Practice location:
  • Phone: 408-701-7734
  • Fax:
Mailing address:
  • Phone: 408-701-7734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number33851
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: