Healthcare Provider Details

I. General information

NPI: 1427398916
Provider Name (Legal Business Name): KAITLIN CAHILL DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2013
Last Update Date: 11/26/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 UNION BLVD STE 110
LAKEWOOD CO
80228-1833
US

IV. Provider business mailing address

255 UNION BLVD STE 110
LAKEWOOD CO
80228-1833
US

V. Phone/Fax

Practice location:
  • Phone: 303-232-0355
  • Fax:
Mailing address:
  • Phone: 303-232-0355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0016874
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: